Organization
SOUTHERN PSYCHOLOGICAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIN SKAFF VANDENWEGHE PSYD, MPAP (MANAGING PARTNER)
(504) 233-9006
Entity
Organization
Contact information
Practice address
3525 PRYTANIA ST STE 319&320B, NEW ORLEANS, LA 70115-3500
(504) 233-9006
Mailing address
3525 PRYTANIA ST STE 319&320B, NEW ORLEANS, LA 70115-3500
(504) 233-9006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/20/2021
Last updated
05/04/2023
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