| Heaton-mccoy Psychology Llc | |
|
132 Demanade Blvd Lafayette LA 70503-2508 | |
| (337) 534-8679 | |
| Not Available |
| Full Name | Heaton-mccoy Psychology Llc |
|---|---|
| Speciality | Psychologist - School |
| Location | 132 Demanade Blvd, Lafayette, Louisiana |
| Authorized Official Name and Position | Kristoffer G Mccoy (MANAGER) |
| Authorized Official Contact | 3379621735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heaton-mccoy Psychology Llc 132 Demanade Blvd Lafayette LA 70503-2508 Ph: (337) 534-8679 | Heaton-mccoy Psychology Llc 132 Demanade Blvd Lafayette LA 70503-2508 Ph: (337) 534-8679 |
| NPI Number | 1013540061 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 02/18/2020 |
| Certification Date | 02/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013540061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | (* (Not Available)) | Primary |
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