NPI 1104068170

Annie Wingate Spell, PHD

Practitioner Clinical Child & Adolescent Psychologist Lafayette, LA

Practice location

Address: 119 Rue Fountaine, Lafayette, LA 70508-5744
Phone: (337) 988-2874
Fax: (337) 991-9165

Registered specialties

Clinical Child & Adolescent Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence 1097 (LA)

Other Psychologist providers in Louisiana →

Registry record

NPI: 1104068170
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Apr 2009
Record last updated: 9 Jul 2009

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.