Provider First Line Business Practice Location Address:
6400 FRERET ST
Provider Second Line Business Practice Location Address:
PSYCHOLOGY DEPT., 2007 PERCIVAL STERN HALL
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70118-5636
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-862-8332
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/18/2007