| Shalom Clinic For Children Apmc | |
|
117 South Dr Natchitoches LA 71457-5039 | |
| (318) 356-7211 | |
| (318) 356-7226 |
| Full Name | Shalom Clinic For Children Apmc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 117 South Dr, Natchitoches, Louisiana |
| Authorized Official Name and Position | Ovayoza I Adeleye (PSYCHIATRIST) |
| Authorized Official Contact | 3183567211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shalom Clinic For Children Apmc 117 South Dr Natchitoches LA 71457-5039 Ph: (318) 356-7211 | Shalom Clinic For Children Apmc 117 South Dr Natchitoches LA 71457-5039 Ph: (318) 356-7211 |
| NPI Number | 1356957518 |
|---|---|
| Provider Enumeration Date | 09/22/2020 |
| Last Update Date | 09/22/2020 |
| Certification Date | 09/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356957518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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