| Zachary Psychology Center, Inc. | |
|
4863a Main St Zachary LA 70791-3943 | |
| (225) 654-2357 | |
| (225) 654-1192 |
| Full Name | Zachary Psychology Center, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4863a Main St, Zachary, Louisiana |
| Authorized Official Name and Position | Peggy C. Smith (DIRECTOR) |
| Authorized Official Contact | 2256542357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary Psychology Center, Inc. Po Box 86 Zachary LA 70791-0086 Ph: (225) 654-2357 | Zachary Psychology Center, Inc. 4863a Main St Zachary LA 70791-3943 Ph: (225) 654-2357 |
| NPI Number | 1538229836 |
|---|---|
| Provider Enumeration Date | 12/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538229836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 605 (Louisiana) | Primary |
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