| The Equestrian Therapy Center Of Slidell | |
|
32597 C C Rd Slidell LA 70460-3269 | |
| (985) 641-4934 | |
| (985) 649-0982 |
| Full Name | The Equestrian Therapy Center Of Slidell |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 32597 C C Rd, Slidell, Louisiana |
| Authorized Official Name and Position | Beverly 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 C C Rd Slidell LA 70460-3269 Ph: (985) 641-4934 | The Equestrian Therapy Center Of Slidell 32597 C C Rd Slidell LA 70460-3269 Ph: (985) 641-4934 |
| NPI Number | 1639567290 |
|---|---|
| Provider Enumeration Date | 01/06/2015 |
| Last Update Date | 01/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639567290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1297 (Louisiana) | Primary |
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