Individual
CICILY PRESTRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
19161 HECTOR ST, MANDEVILLE, LA 70471-6943
(198) 529-0128
Mailing address
19161 HECTOR ST, MANDEVILLE, LA 70471-6943
(198) 529-0128
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
780
LA
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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