Individual
DR. THOMAS E STAATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2924 KNIGHT ST, BLDG 3, SUITE 357, SHREVEPORT, LA 71105
(318) 861-0194
(318) 861-0284
Mailing address
422 TOWN SOUTH DR, SHREVEPORT, LA 71115-2929
(318) 861-0194
(318) 861-0284
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
254
LA
103TC1900X
Counseling Psychologist
254
LA
Other
Enumeration date
01/22/2007
Last updated
08/18/2021
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