Individual
DR. JIMMIE D COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-4532
(337) 470-4916
Mailing address
209 RIVER RANCH BLVD, LAFAYETTE, LA 70508-6664
(337) 470-4532
(337) 470-4916
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
145
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1901245
—
LA
Enumeration date
05/30/2013
Last updated
05/30/2013
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