Organization
RIVERSIDE PSYCHOTHERAPY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA KNAACK MSPA (ADMINISTRATOR)
(985) 718-9110
Entity
Organization
Contact information
Practice address
79 PARK LN, FOLSOM, LA 70437-7721
(985) 718-9110
Mailing address
79 PARK LN, FOLSOM, LA 70437-7721
(985) 718-9110
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
570
LA
Other
Enumeration date
06/24/2005
Last updated
08/30/2023
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