Individual
DR. SANDRA ISABEL VIGGIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 LAKESHORE DR STE 1695, LAKE CHARLES, LA 70629-0124
(337) 564-6405
(337) 656-2563
Mailing address
1 LAKESHORE DR STE 1695, LAKE CHARLES, LA 70629-0124
(337) 564-6405
(337) 656-2563
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1387
LA
103TC0700X
Clinical Psychologist
30290
CA
Other
Enumeration date
08/24/2010
Last updated
03/01/2019
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