Organization
HEATON-MCCOY PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOFFER G MCCOY MD (MANAGER)
(337) 962-1735
Entity
Organization
Contact information
Practice address
132 DEMANADE BLVD, LAFAYETTE, LA 70503-2508
(337) 534-8679
Mailing address
132 DEMANADE BLVD, LAFAYETTE, LA 70503-2508
(337) 534-8679
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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