Individual
DR. MAURINE T LADNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., MP
Contact information
Practice address
400 GEORGIA AVE, BOGALUSA, LA 70427-3866
(985) 732-6610
Mailing address
400 GEORGIA AVE, BOGALUSA, LA 70427-3866
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
000969
LA
103TP0016X
Prescribing (Medical) Psychologist
MP-969
LA
Other
Enumeration date
12/31/2008
Last updated
08/31/2023
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