Doctor Name: | ALYSSA SCHWARTZENBURG |
NPI Number: | 1013373943 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PLPC |
License Number: | |
Business Practice Address: | 311 Macarthur Dr Sunset, LA - 70584 |
Business Phone Number: | 3376623737 |
Business Fax Number: | 3376623636 |
Mailing Address: | 200 Bridgeway Dr Apt 125, LAFAYETTE |
State: | LA |
Postal Code: | 705064019 |
Phone Number: | 3374998005 |
Fax Number: | |
NPI Enumeration Date: | 01/07/2016 |
NPI Last Update Date: | 01/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |