Organization
LAKE AREA NEUROPSYCHOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES M. ROBERTSON PSY.D. (LICENSED CLINICAL PSYCHOLOGIST)
(337) 436-1631
Entity
Organization
Contact information
Practice address
803 W BAYOU PINES DR STE F, LAKE CHARLES, LA 70601-7096
(337) 436-1631
Mailing address
803 W BAYOU PINES DR STE F, LAKE CHARLES, LA 70601-7096
(337) 436-1631
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
604
LA
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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