NPI 1780375386

Thomas R Fornea, CPP

Practitioner Prevention Professional Bogalusa, LA

Practice location

Address: 216 Memphis St, Bogalusa, LA 70427-3844
Phone: (985) 735-0160
Fax: (985) 735-0970

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence CPP-5001 (LA)

Other Prevention Professional providers in Louisiana →

Registry record

NPI: 1780375386
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 May 2023
Record last updated: 16 May 2023

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.