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General NPI Number Information
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NPI Number | 1972518843
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Entity Type | Organization
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Legal Business Name | COGNITIVE DEVELOPMENT CONSULTANTS, INC.
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1718 CENTENARY BLVD
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City | SHREVEPORT
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State | LA
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Zip | 71101-5025
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Country | US
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Telephone | 318-459-1898
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Fax | 318-459-1877
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Provider Business Mailing Address
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Address Line | 1718 CENTENARY BLVD
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City | SHREVEPORT
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State | LA
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Zip | 71101-5025
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Country | US
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Telephone | 318-459-1898
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Fax | 318-459-1877
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | LISA ANN PLAYER
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Credential | LCSW
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Telephone | 318-459-1898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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