Individual
BRIAN ROBIN MACOBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
7731 PANOLA ST, NEW ORLEANS, LA 70118-4240
(502) 500-5054
Mailing address
7731 PANOLA ST, NEW ORLEANS, LA 70118-4240
(502) 500-5054
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1742
AL
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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