Individual
DR. DAVID WARREN KIDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
119 VILLAGE ST, SUITE A, SLIDELL, LA 70458-5301
(985) 649-2011
(985) 649-2033
Mailing address
178 W PINEWOOD DR, SLIDELL, LA 70458-1363
(985) 649-2011
(985) 649-2033
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
542
LA
Other
Enumeration date
10/01/2006
Last updated
05/12/2009
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