Individual
LYNETTE HESLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
700 GAUSE BLVD STE 304, SLIDELL, LA 70458-2854
(985) 445-1444
(985) 445-1285
Mailing address
700 GAUSE BLVD STE 304, SLIDELL, LA 70458-2854
(198) 544-5144
(504) 896-7273
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
MP1049
LA
103T00000X
Psychologist
MPAP.000021
LA
103TC0700X
Clinical Psychologist
47826
MS
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035203
—
LA
Enumeration date
12/18/2006
Last updated
05/13/2021
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