Organization
M. TODD LOBRANO, PSYCHOLOGIST, L.L.C.
Active
Other names
Goebel, Vigen, & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBER FULLER (OFFICE MANAGER)
(318) 425-2000
Entity
Organization
Contact information
Practice address
3341 YOUREE DR STE 20A, SHREVEPORT, LA 71105-2149
(318) 425-2000
(318) 424-2601
Mailing address
3341 YOUREE DR STE 20A, SHREVEPORT, LA 71105-2149
(318) 425-2000
(318) 424-2601
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
12/21/2020
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