Individual
DR. MARY SPEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2315 FLORIDA ST STE 225, MANDEVILLE, LA 70448-5129
(985) 240-4164
Mailing address
PO BOX 852, MANDEVILLE, LA 70470-0852
(985) 240-4164
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2013
LA
101YP2500X
Professional Counselor
Primary
2013
LA
106H00000X
Marriage & Family Therapist
414
LA
Other
Enumeration date
02/09/2007
Last updated
01/18/2024
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