Doctor Name: | MRS. LYNN BLANCHE VAUCLIN |
NPI Number: | 1306801105 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 2353 |
Business Practice Address: | 707 Southfield Rd Shreveport, LA - 71106 |
Business Phone Number: | 3188691632 |
Business Fax Number: | 3188691633 |
Mailing Address: | 707 Southfield Rd, SHREVEPORT |
State: | LA |
Postal Code: | 71106 |
Phone Number: | 3188691632 |
Fax Number: | 3188691633 |
NPI Enumeration Date: | 04/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2353 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |