| Doctor Name: | DR. ERIC M DISHONGH |
| NPI Number: | 1497083224 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 3602 |
| Business Practice Address: | 2201 Hickory Ave River Ridge, LA - 701231613 |
| Business Phone Number: | 5046061267 |
| Business Fax Number: | |
| Mailing Address: | 109 Allison Dr, LULING |
| State: | LA |
| Postal Code: | 700703092 |
| Phone Number: | 5046061267 |
| Fax Number: | 5047370005 |
| NPI Enumeration Date: | 12/07/2009 |
| NPI Last Update Date: | 12/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3602 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |