| Care Tec Pediatric Center, Llc | |
|
855 Shirley Rd Bunkie LA 71322-1540 | |
| (318) 346-7337 | |
| (318) 346-2339 |
| Full Name | Care Tec Pediatric Center, Llc |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 855 Shirley Rd, Bunkie, Louisiana |
| Authorized Official Name and Position | Elizabeth A Lambeth (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 3373011029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Tec Pediatric Center, Llc 855 Shirley Rd Bunkie LA 71322-1540 Ph: (318) 346-7337 | Care Tec Pediatric Center, Llc 855 Shirley Rd Bunkie LA 71322-1540 Ph: (318) 346-7337 |
| NPI Number | 1699088567 |
|---|---|
| Provider Enumeration Date | 07/21/2010 |
| Last Update Date | 07/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699088567 | NPI | - | NPPES |
| 2359908 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 981 (Louisiana) | Primary |
| 3140N1450X | Skilled Nursing Facility - Nursing Care, Pediatric | (* (Not Available)) | Secondary |
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