Individual
GARY GLENN FUTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
309 SAINT JULIEN AVE, LAFAYETTE, LA 70506-4655
(337) 406-1940
Mailing address
224 LAMBTON DR, LAFAYETTE, LA 70508-8099
(318) 451-5854
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1046
LA
Other
Enumeration date
10/07/2008
Last updated
09/28/2023
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