| Mrs Antoinette Kelly-clark, | |
|
171 Water Tank Rd, Ruston, LA 71270-8550 | |
| (318) 548-7242 | |
| Not Available |
| Full Name | Mrs Antoinette Kelly-clark |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Counseling |
| Location | 171 Water Tank Rd, Ruston, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417638800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Antoinette Kelly-clark, 171 Water Tank Rd, Ruston, LA 71270-8550 Ph: (318) 548-7242 | Mrs Antoinette Kelly-clark, 171 Water Tank Rd, Ruston, LA 71270-8550 Ph: (318) 548-7242 |
Dr. Aimee Blackham, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 617 S Trenton St, Ruston, LA 71270 Phone: 318-251-4659 Fax: 318-251-4659 | |
Dr. Walter C Buboltz Jr., PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2101 Walnut Ave, Ruston, LA 71270 Phone: 318-512-9637 | |
Dr. David Lanson Wheeler, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1401 Ezell Street, Ruston, LA 71270 Phone: 318-251-3126 | |
Eric Deemer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2419 Redwood St, Ruston, LA 71270 Phone: 318-257-3659 |