Organization
CREVELING-BENEFIELD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIANE CREVELING-BENEFIELD PH.D. (OWNER)
(225) 405-4401
Entity
Organization
Contact information
Practice address
4300 S I 10 SERVICE RD W STE 112, METAIRIE, LA 70001-7425
(504) 265-7595
(800) 490-8511
Mailing address
4300 S I 10 SERVICE RD W STE 112, METAIRIE, LA 70001-7425
(504) 265-7595
(800) 490-8511
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1296
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356738421
—
LA
Enumeration date
11/15/2017
Last updated
11/15/2017
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