Individual
DR. ANNIE WINGATE SPELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
119 RUE FOUNTAINE, LAFAYETTE, LA 70508-5744
(337) 988-2874
(337) 991-9165
Mailing address
119 RUE FOUNTAINE, LAFAYETTE, LA 70508-5744
(337) 988-2874
(337) 991-9165
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1097
LA
Other
Enumeration date
04/06/2009
Last updated
07/09/2009
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