Individual
PHILIP ROSS RICHARD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHP, PLP
Contact information
Practice address
7784 INNOVATION PARK DR, BATON ROUGE, LA 70820-7006
(225) 343-4232
Mailing address
7784 INNOVATION PARK DR, BATON ROUGE, LA 70820-7006
(225) 343-4232
(225) 343-4233
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1608
LA
Other
Enumeration date
05/28/2019
Last updated
08/20/2024
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