Individual
LUKE SEXTON ELLIOTT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
119 RIDGEWAY DR, SUITE B-1, LAFAYETTE, LA 70503-3446
(337) 984-7614
(337) 984-8696
Mailing address
119 RIDGEWAY DR, SUITE B-1, LAFAYETTE, LA 70503-3446
(337) 984-7614
(337) 984-8696
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
248
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20909
BLUE CROSS OF LA
LA
Enumeration date
09/05/2006
Last updated
07/08/2007
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