Organization
AMY E CAVANAUGH PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY E CAVANAUGH (OFFICER)
(337) 889-5830
Entity
Organization
Contact information
Practice address
4540 AMBASSADOR CAFFERY PKWY STE C200, LAFAYETTE, LA 70508-6930
(337) 889-5830
(337) 889-5834
Mailing address
PO BOX 80853, LAFAYETTE, LA 70598-0853
(337) 889-5830
(337) 889-5834
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/03/2010
Last updated
07/29/2014
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