Individual
BURTON ASHWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD (ABD)
Contact information
Practice address
3501 5TH AVE, STE A, LAKE CHARLES, LA 70607-2155
(337) 310-0153
(337) 310-0202
Mailing address
PO BOX 3246, LAKE CHARLES, LA 70602-3246
(337) 310-0153
(337) 310-0202
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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