| Mccoy Psychiatry Llc | |
|
800 Kaliste Saloom Rd Lafayette LA 70508-4210 | |
| (337) 233-2400 | |
| (337) 232-3656 |
| Full Name | Mccoy Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 800 Kaliste Saloom Rd, Lafayette, Louisiana |
| Authorized Official Name and Position | Kristoffer Gerard Mccoy (PRESIDENT/OWNER) |
| Authorized Official Contact | 3372332400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mccoy Psychiatry Llc 800 Kaliste Saloom Rd Lafayette LA 70508-4210 Ph: (337) 233-2400 | Mccoy Psychiatry Llc 800 Kaliste Saloom Rd Lafayette LA 70508-4210 Ph: (337) 233-2400 |
| NPI Number | 1659474450 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7416952932 |
|---|---|
| Medicare Enrollment ID | O20060915000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659474450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 026078 (Louisiana) | Primary |
| Provider Name | Kristoffer G Mccoy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427086123 PECOS PAC ID: 9638081276 Enrollment ID: I20031103000481 |
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