NPI 1003063199

Louisiana Health & Rehabilitation Coptions

Organisation Intellectual & Developmental Disabilities Psychologist Lafayette, LA

Practice location

Address: 930 Webb St, Lafayette, LA 70501-3930
Phone: (337) 267-7375
Fax: (337) 269-5616
Mailing address: 1701 Main St, Baton Rouge, LA 70802-3764

Authorised official

Name: Soundra Johnson Temple
Title: Chief Executive Officer
Phone: (225) 938-0661

Registered specialties

Intellectual & Developmental Disabilities Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TM1800X Licence PCA 11826 (LA)

Other Psychologist providers in Louisiana →

Registry record

NPI: 1003063199
Entity type: Organization
NPI issued: 20 Aug 2008
Record last updated: 20 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.