Doctor Name: | LOUISA CENATIEMPO |
NPI Number: | 1659470086 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 1300 |
Business Practice Address: | 107 H. St. East 550 6 Th Ave. No. Poplar, MT - 59255 |
Business Phone Number: | 4067683491 |
Business Fax Number: | 4067683423 |
Mailing Address: | 107h.st. East, POPLAR |
State: | MT |
Postal Code: | 59255 |
Phone Number: | 4067683491 |
Fax Number: | 4067683423 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 04/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |