AMY E CAVANAUGH PHD LLC


Address: 4540 Ambassador Caffery Pkwy Ste C200, Lafayette, LA 70508-6930
Phone: 3378895830

AMY E CAVANAUGH PHD LLC (NPI# 1992025720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992025720
Entity Type Organization
Organization Name AMY E CAVANAUGH PHD LLC
Practice Address 4540 Ambassador Caffery Pkwy Ste C200
Lafayette
LA 70508-6930
Mailing Address Po Box 80853
Lafayette
LA 70598-0853
Practice Telephone 3378895830
Practice Fax Number 3378895834
Mailing Telephone 3378895830
Mailing Fax Number 3378895834
Enumeration Date 2010-06-03
Last Update Date 2014-07-29
Authorized Official Name AMY E CAVANAUGH (OFFICER)
Authorized Official Telephone 3378895830
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers

Office Location

Street Address 4540 AMBASSADOR CAFFERY PKWY STE C200
City LAFAYETTE
State LA
Zip Code 70508-6930

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City LAFAYETTE
Zip Code 70508

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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