Louisiana Health & Rehabilitation Coptions

NPI #1003063199 in Lafayette, Louisiana

Provider Information

NPI Number: 1003063199
Entity Type: Organization
Organization Name: Louisiana Health & Rehabilitation Coptions
Primary Specialty: Psychologist - Intellectual & Developmental Disabilities
Enumeration Date: Aug 20, 2008
Last Updated: Aug 20, 2008

Practice Location

Address: 930 WEBB ST
City: Lafayette
State: Louisiana
ZIP Code: 70501-3930
Phone: (337) 267-7375

Authorized Official

Name: MS. SOUNDRA JOHNSON TEMPLE
Title: CHIEF EXECUTIVE OFFICER
Phone: (225) 938-0661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X	Primary

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