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NPI Code Detail

MEDICARE: MS. LANELL DARNELL STEWART PSY.D

MEDICARE:  MS. LANELL DARNELL STEWART  PSY.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC1900XCounseling PsychologistLS8610642LA

General Provider Information

NPI Number : 1821763376
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LANELL DARNELL STEWART PSY.D
Provider Business Mailing Address
First Line : 22810 ATCHAFALAYA DR
Second Line :
City : DENHAM SPRINGS
State : LA
Zip : 70726-6976
Country : US
Telephone Number : 225-964-2696
Fax Number :
Provider Business Practice Location Address
First Line : 22810 ATCHAFALAYA DR
Second Line :
City : DENHAM SPRINGS
State : LA
Zip : 70726-6976
Country : US
Telephone Number : 225-964-2696
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2021
Last Update Date : 08/23/2021

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Directions to “ MS. LANELL DARNELL STEWART PSY.D” Practice Location

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