Organization
PSYCHOLOGICAL CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN KELLY PH.D. (CO-DIRECTOR)
(318) 581-0128
Entity
Organization
Contact information
Practice address
311 CHURCH ST, NATCHITOCHES, LA 71457-4612
(318) 581-0128
Mailing address
311 CHURCH ST, NATCHITOCHES, LA 71457-4612
(318) 581-0128
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1018
LA
Other
Enumeration date
07/23/2012
Last updated
11/06/2012
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