Psychological Care Services Of La, Llc | |
109 Doubloon Dr Slidell LA 70461-2715 | |
(985) 641-2513 | |
(985) 265-4155 |
Full Name | Psychological Care Services Of La, Llc |
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Speciality | Psychologist - Clinical |
Location | 109 Doubloon Dr, Slidell, Louisiana |
Authorized Official Name and Position | Gertrude Parker (SOLE MBR) |
Authorized Official Contact | 9856412513 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Psychological Care Services Of La, Llc 109 Doubloon Dr Slidell LA 70461-2715 Ph: (985) 641-2513 | Psychological Care Services Of La, Llc 109 Doubloon Dr Slidell LA 70461-2715 Ph: (985) 641-2513 |
NPI Number | 1902172893 |
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Provider Enumeration Date | 03/26/2012 |
Last Update Date | 08/26/2013 |
Identifier | Type | State | Issuer |
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1902172893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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