Organization
PATRICIA CORNELIOUS PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA CORNELIOUS PHD (OWNER)
(636) 697-6405
Entity
Organization
Contact information
Practice address
9229 BLUEBONNET BLVD, STE. B, BATON ROUGE, LA 70810-2808
(225) 766-7470
(225) 766-7473
Mailing address
9229 BLUEBONNET BLVD, STE. B, BATON ROUGE, LA 70810-2808
(225) 766-7470
(225) 766-7473
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1273
LA
Other
Enumeration date
04/19/2014
Last updated
04/19/2014
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