Organization
LOUISIANA AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE HAAG PSY.D. (PRESIDENT)
(318) 641-0444
Entity
Organization
Contact information
Practice address
100 GAYVEN DR, BALL, LA 71405-4903
(318) 641-0444
Mailing address
100 GAYVEN DR, BALL, LA 71405-4903
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
928
LA
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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