Individual
CHRISTOPHER SCOTT ECKHOLDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., M.P.
Contact information
Practice address
93 MAGNATE DR., LAFAYETTE, LA 70508-3840
(337) 889-5830
(337) 889-5834
Mailing address
93 MAGNATE DR., LAFAYETTE, LA 70508-3840
(337) 889-5830
(337) 889-5834
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
837
LA
103TP0016X
Prescribing (Medical) Psychologist
Primary
MP0837
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007846
—
LA
Enumeration date
08/05/2006
Last updated
04/01/2016
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