Individual
DR. MANDI W MUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
740 COLONIAL DR, BATON ROUGE, LA 70806-6511
(225) 216-9422
Mailing address
740 COLONIAL DRIVE DRIVE, BATON ROUGE, LA 70806
(225) 216-9422
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1311
LA
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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