Individual
DR. DEEPIKA C REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH. D
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-4835
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-4835
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301013752
MI
Other
Enumeration date
06/29/2012
Last updated
09/24/2012
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