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NPI Profile for DECLOUET PSYCHIATRIC SERVICES LLC in LAFAYETTE, LA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health, Adult |
364SP0809X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1609248376 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/21/2015 | |
| Last updated | 06/08/2016 - About 10 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DECLOUET PSYCHIATRIC SERVICES, LLC