Individual
SONIA BLAUVELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11914 JUSTICE AVE STE B3, BATON ROUGE, LA 70816-5315
(225) 238-1166
Mailing address
11914 JUSTICE AVE STE B3, BATON ROUGE, LA 70816-5315
(225) 238-1166
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1531
LA
Other
Enumeration date
03/08/2017
Last updated
11/22/2022
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