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Contact Information

TIMBERLAKE PSYCHOLOGY GROUP INC
301 GIROD STREET
MANDEVILLE, LA70448
 Phone: 985-624-5466
 Fax: 985-624-9839
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TIMBERLAKE PSYCHOLOGY GROUP INC

NPI Number 1215086491
LBN Legal business name TIMBERLAKE PSYCHOLOGY GROUP INC
Authorized official CAROL SELF - (PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/09/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
LA License # 620
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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