Doctor Name: | DR. LYNN L GUIDRY |
NPI Number: | 1053528596 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 543 |
Business Practice Address: | 500 Roderick St Suite B Morgan City, LA - 703802247 |
Business Phone Number: | 9853802460 |
Business Fax Number: | 9853802476 |
Mailing Address: | 500 Roderick St, Suite B MORGAN CITY |
State: | LA |
Postal Code: | 703802247 |
Phone Number: | 9853802460 |
Fax Number: | 9853802476 |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 05/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0700X |
License Number: | 543 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Adult Development & Aging |
Taxonomy Definition: |