Individual
CHARLES ANDREW YARBOROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
10724 MISTY VALE AVE, BATON ROUGE, LA 70810-3030
(225) 953-1903
Mailing address
10724 MISTY VALE AVE, BATON ROUGE, LA 70810-3030
(225) 953-1903
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1161
LA
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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