Individual
KENNETH RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 W HUTCHINSON AVE, CROWLEY, LA 70526-4124
(337) 788-7984
(337) 788-7986
Mailing address
1607 W GROLEE ST, OPELOUSAS, LA 70570-2721
(337) 788-7984
(337) 788-7986
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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