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AMY E CAVANAUGH PHD LLC

Behavioral Health & Social Service Providers Psychologist

Provider NPI: 1962554790

Provider Information:
 AMY E CAVANAUGH PHD LLC
Gender: F
Not Sole Proprietor

Practice Location:
4540 AMBASSADOR CAFFERY PKWY SUITE C200 LAFAYETTE, LA 70508-6928 US
Tel: 337-889-5830  Fax: 337-889-5834

Business Mailing Address:
PO BOX 80853  LAFAYETTE, LA 70598-0853 US
Tel: 337-889-5830  Fax: 337-889-5834

NPI Information:
NPI: 1962554790
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103T00000XBehavioral Health & Social Service Providers
Psychologist
LA998
N103TB0200XBehavioral Health & Social Service Providers
Psychologist
LA998
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
LA998
N103TC1900XBehavioral Health & Social Service Providers
Psychologist
LA998
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
LA998
N103TF0000XBehavioral Health & Social Service Providers
Psychologist
LA998
N103TP2701XBehavioral Health & Social Service Providers
Psychologist
LA998

Other Provider Identifiers:

IssuerNumberStateType
2125541LA05



American Medical Association 2012 taxonomy code information

Code: 103TC0700X

Type:

Classification:



Definition:



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