Individual
RICHARD L WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5529 MONROE HWY, BALL, LA 71405-3356
(318) 641-0444
Mailing address
5529 MONROE HWY, BALL, LA 71405-3356
(318) 641-0444
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
754
LA
Other
Enumeration date
07/02/2006
Last updated
07/08/2007
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