NPI 1750995114

Michelle Blose, PSYD

Practitioner Clinical Neuropsychologist Pineville, LA

Practice location

Address: 2495 Shreveport Hwy, Pineville, LA 71360-4044
Phone: (318) 473-0010

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 35SI00757700 (NJ)

Other Clinical Neuropsychologist providers in Louisiana →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 203-032 (NJ)

Other Psychologist providers in Louisiana →

Registry record

NPI: 1750995114
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Sep 2020
Record last updated: 16 Jan 2025

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.