Healthcare Provider Details

I. General information

NPI: 1932613007
Provider Name (Legal Business Name): KEY NEUROPSYCHOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2017
Last Update Date: 11/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2223 QUAIL RUN STE H1
BATON ROUGE LA
70808-9063
US

IV. Provider business mailing address

2223 QUAIL RUN STE H1
BATON ROUGE LA
70808-9063
US

V. Phone/Fax

Practice location:
  • Phone: 225-366-8098
  • Fax: 888-520-4215
Mailing address:
  • Phone: 225-366-8098
  • Fax: 888-520-4215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number896
License Number StateLA

VIII. Authorized Official

Name: DR. KIRSTEN WILLIAMS SCHWEHM
Title or Position: OWNER
Credential: PHD
Phone: 225-366-8098