Individual
ALEXA ELISE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SSP (ED.S.)
Contact information
Practice address
602 WHISPERING WATERS AVE, GONZALES, LA 70737-3174
(337) 304-7993
Mailing address
602 WHISPERING WATERS AVE, GONZALES, LA 70737-3174
(337) 304-7993
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LSSP045
LA
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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