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Individual

VIRGINIA DIANE GARRETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
7916 WRENWOOD BLVD, SUITE C, BATON ROUGE, LA 70809-1782
(225) 302-5092
(225) 615-7329
Mailing address
7916 WRENWOOD BLVD, SUITE C, BATON ROUGE, LA 70809-1782
(225) 302-5092
(225) 615-7329

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
684
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
H5829
BLUE CROSS BLUE SHIELD PROVIDER NUMBER
LA
Enumeration date
03/31/2006
Last updated
02/10/2015
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