Organization
CRESCENT CITY PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK SKELLIE PSY.D. (SOLE MEMBER)
(504) 481-2099
Entity
Organization
Contact information
Practice address
137 N CLARK ST, NEW ORLEANS, LA 70119-5244
(504) 481-2099
(407) 567-7870
Mailing address
137 N CLARK ST, NEW ORLEANS, LA 70119-5244
(504) 481-2099
(407) 567-7870
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1190
LA
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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