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Individual

DR. HENRY JAY LAGARDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
217 FRENCH STREET, NEW IBERIA, LA 70560
(337) 367-6604
(337) 367-6963
Mailing address
217 FRENCH STREET, NEW IBERIA, LA 70560
(337) 367-6604
(337) 367-6963

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LA353
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1997943
LA
Enumeration date
01/17/2007
Last updated
07/21/2022
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