| The Equestrian Therapy Center Of Slidell | |
|
32597 Cc Road Slidell LA 70460-3269 | |
| (985) 641-4934 | |
| (985) 649-0982 |
| Full Name | The Equestrian Therapy Center Of Slidell |
|---|---|
| Speciality | Psychologist |
| Location | 32597 Cc Road, Slidell, Louisiana |
| Authorized Official Name and Position | Beverly A Stubblefield (OWNER) |
| Authorized Official Contact | 9856414934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Equestrian Therapy Center Of Slidell 32597 Cc Road Slidell LA 70460-3269 Ph: (985) 641-4934 | The Equestrian Therapy Center Of Slidell 32597 Cc Road Slidell LA 70460-3269 Ph: (985) 641-4934 |
| NPI Number | 1134517436 |
|---|---|
| Provider Enumeration Date | 01/08/2015 |
| Last Update Date | 01/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134517436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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