Individual
WYLIE BARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
748 BAYOU PINES EAST DR STE C, LAKE CHARLES, LA 70601-7596
(337) 602-1462
Mailing address
748 BAYOU PINES EAST DR STE C, LAKE CHARLES, LA 70601-7596
(337) 602-1462
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
245658
LA
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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