Organization
PSYCHOLOGICAL HEALTH CARE OF SOUTH LOUISIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH CHRISTOPHER RACHAL PHD, MP (PRESIDENT)
(985) 859-5455
Entity
Organization
Contact information
Practice address
1016 HOUMA ST, HOUMA, LA 70360-4420
(985) 859-5455
(985) 859-5455
Mailing address
1016 HOUMA ST, HOUMA, LA 70360-4420
(985) 859-5455
(985) 859-5455
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
895
LA
103TP0016X
Prescribing (Medical) Psychologist
MP.0014
LA
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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