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Contact Information

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
602 N ACADIA RD
THIBODAUX, LA70301-4847
 Phone: 985-447-5500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION · (Female)

NPI # 1265784094
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2012
Last updated 12/07/2016 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA Medicaid 2325060
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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