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Organization

PSYCHOLOGICAL CARE SERVICES OF LA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GERTRUDE PARKER (SOLE MBR)
(985) 641-2513
Entity
Organization

Contact information

Practice address
109 DOUBLOON DR, SLIDELL, LA 70461-2715
(985) 641-2513
(985) 265-4155
Mailing address
109 DOUBLOON DR, SLIDELL, LA 70461-2715
(985) 641-2513
(985) 265-4155

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1041C0700X
Clinical Social Worker

Other

Enumeration date
03/26/2012
Last updated
08/26/2013
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