Individual
LAURA NIDITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1301 ANTONINE ST, NEW ORLEANS, LA 70115-3601
(504) 899-1682
Mailing address
1301 ANTONINE ST, NEW ORLEANS, LA 70115-3601
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1335
LA
Other
Enumeration date
12/30/2014
Last updated
09/20/2015
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