Thibodaux Regional Network Development Corporation Geri Psyc | |
602 N Acadia Rd Thibodaux LA 70301-4847 | |
(985) 447-5500 | |
Not Available |
Full Name | Thibodaux Regional Network Development Corporation Geri Psyc |
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Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
Location | 602 N Acadia Rd, Thibodaux, Louisiana |
Authorized Official Name and Position | Steve Gaubert (AGENT) |
Authorized Official Contact | 9854934721 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Thibodaux Regional Network Development Corporation Geri Psyc Po Box 5478 Thibodaux LA 70302-5478 Ph: (985) 447-5500 | Thibodaux Regional Network Development Corporation Geri Psyc 602 N Acadia Rd Thibodaux LA 70301-4847 Ph: (985) 447-5500 |
NPI Number | 1265784094 |
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Provider Enumeration Date | 10/03/2012 |
Last Update Date | 12/07/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265784094 | NPI | - | NPPES |
2325060 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
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