Doctor Name: | KATHERINE HICKS LITTLE |
NPI Number: | 1588989230 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMHNP-C |
License Number: | RN100811-AP06090 |
Business Practice Address: | 246 Marie Rd Church Point, LA - 705257001 |
Business Phone Number: | 3376840042 |
Business Fax Number: | |
Mailing Address: | 246 Marie Rd, CHURCH POINT |
State: | LA |
Postal Code: | 705257001 |
Phone Number: | 3376840042 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2010 |
NPI Last Update Date: | 04/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | RN100811-AP06090 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |