Individual
DR. CLINTON GARY PETTIGREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
7510 HIGHLAND ROAD, BATON ROUGE, LA 70808-6726
(225) 766-2822
(225) 766-2823
Mailing address
7510 HIGHLAND ROAD, BATON ROUGE, LA 70808-6726
(225) 766-2822
(225) 766-2823
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
322
LA
Other
Enumeration date
04/01/2006
Last updated
03/12/2015
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