Individual
DR. COURTNEY TIBBETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1538 W PINHOOK RD, LAFAYETTE, LA 70503-3159
(337) 234-4912
Mailing address
1538 W PINHOOK RD, LAFAYETTE, LA 70503-3159
(337) 234-4912
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1463
LA
Other
Enumeration date
08/24/2017
Last updated
07/19/2021
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