DECLOUET PSYCHIATRIC SERVICES, LLC
Physician Assistant at Billeaud Ln, Lafayette, LA

License number
Louisiana AP08470
Category
Physician Assistant
Type
Psychiatric/Mental Health, Adult
Owner
Name: MR. MATTHEW ALEXANDER DECLOUET PMHNP
Title: NURSE PRACTITIONER
Phone: (337) 280-0441
Address
Address
100 Billeaud Ln, Lafayette, LA 70506
National Provider ID: 1609248376
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DECLOUET PSYCHIATRIC SERVICES, LLC at bizstanding.com

DECLOUET PSYCHIATRIC SERVICES, LLC

Lafayette, LA

Registration:
Mar 11, 2015
Addresses:
127 Alonda Dr, Lafayette, LA 70503 (Physical)
C/O Matthew Alexander Declouet, Lafayette, LA 70503 (Mailing)
State ID:
41817828K
Business type:
Limited Liability Company
Members:
Matthew Alexander Declouet (Member), 127 Alonda Dr, Lafayette, LA 70503 (Physical),Paige Skinner Declouet (Member), 127 Alonda Dr, Lafayette, LA 70503 (Physical)

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