Individual
ANN CARLIN DETTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SSP, LSSP
Contact information
Practice address
327 ARIS AVE, METAIRIE, LA 70005-3426
(504) 909-1297
Mailing address
1800 ELLERSLIE AVE, LA PLACE, LA 70068-2708
(504) 909-1297
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
72142
TX
103TS0200X
School Psychologist
Primary
LSSP018
LA
Other
Enumeration date
03/20/2022
Last updated
03/20/2022
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