Organization
MCCOY-PROVIDER PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOFFER MCCOY MD (MANAGER)
(337) 962-1735
Entity
Organization
Contact information
Practice address
132 DEMANADE BLVD, LAFAYETTE, LA 70503-2508
(337) 962-1735
Mailing address
132 DEMANADE BLVD, LAFAYETTE, LA 70503-2508
(337) 962-1735
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
06/18/2019
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