Organization
KENDALLS REHAB SERVICES OF LA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON LAIR M.A. (DIRECTOR)
(318) 308-7110
Entity
Organization
Contact information
Practice address
504 CALDERWOOD DR, ALEXANDRIA, LA 71303-2285
(318) 308-7110
Mailing address
1715 ASHLEY AVE, ALEXANDRIA, LA 71301-7344
(318) 308-7110
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
LA
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
06/21/2016
Last updated
10/18/2021
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