Individual
MRS. VEENA YAMASANI POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
151, OAKWOOD DR., MANDEVILLE, LA 70448
(601) 270-4996
Mailing address
151, OAKWOOD DR., MANDEVILLE, LA 70448
(601) 270-4996
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1229
LA
103T00000X
Psychologist
52913
MS
103TB0200X
Cognitive & Behavioral Psychologist
52913
MS
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
52913
MS
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TS0200X
School Psychologist
52913
MS
103TS0200X
School Psychologist
—
—
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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