Individual
ELEANORE HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
132 DEMANADE BLVD, LAFAYETTE, LA 70503-2508
(337) 534-8679
(337) 534-0027
Mailing address
132 DEMANADE BLVD, LAFAYETTE, LA 70503-2508
(337) 534-8679
(337) 534-0027
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1445
LA
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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