Individual
DR. NICOLE F. LANCLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3419 NW EVANGELINE TRWY STE M-5, CARENCRO, LA 70520-6241
(337) 205-3388
(337) 703-0636
Mailing address
332 HIGHWAY 1252, CARENCRO, LA 70520-5303
(318) 613-1023
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
988
LA
103TC2200X
Clinical Child & Adolescent Psychologist
988
LA
Other
Enumeration date
10/24/2006
Last updated
06/09/2021
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