Organization
THE EQUESTRIAN THERAPY CENTER OF SLIDELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEVERLY STUBBLEFIELD PH.D. (OWNER)
(985) 641-4934
Entity
Organization
Contact information
Practice address
32597 C C RD, SLIDELL, LA 70460-3269
(985) 641-4934
(985) 649-0982
Mailing address
32597 C C RD, SLIDELL, LA 70460-3269
(985) 641-4934
(985) 649-0982
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1297
LA
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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