Individual
BYRONEISHIA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3180 CONVENTION ST STE A, BATON ROUGE, LA 70806-3711
(225) 963-9601
Mailing address
3180 CONVENTION ST STE A, BATON ROUGE, LA 70806-3711
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
BT722374
MS
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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