Individual
DR. KIM E. VANGEFFEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
141 W. HARRISON AVENUE, SUITE C, NEW ORLEANS, LA 70124-7012
(504) 286-1424
(504) 286-1423
Mailing address
141 W. HARRISON AVENUE, SUITE C, NEW ORLEANS, LA 70124-2552
(504) 286-1424
(504) 286-1423
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
453
LA
103TC0700X
Clinical Psychologist
Primary
453
LA
Other
Enumeration date
10/19/2006
Last updated
01/12/2022
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