Organization
FAMILY PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SALLY E THIGPEN PH.D (OWNER)
(318) 254-1234
Entity
Organization
Contact information
Practice address
203 S VIENNA ST, RUSTON, LA 71270-4442
(318) 254-1234
(318) 254-1235
Mailing address
203 S VIENNA ST, RUSTON, LA 71270-4442
(318) 254-1234
(318) 254-1235
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1027
LA
103TF0000X
Family Psychologist
Primary
476
LA
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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