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NPI Code Detail

MEDICARE: BOBBY KIZER PHD LLC

MEDICARE: BOBBY KIZER PHD LLC
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 Psychologist1206LA

General Provider Information

NPI Number : 1174985238
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOBBY KIZER PHD LLC
Provider Business Mailing Address
First Line : 6851 MEMPHIS ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70124-3341
Country : US
Telephone Number : 504-899-6873
Fax Number :
Provider Business Practice Location Address
First Line : 6851 MEMPHIS ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70124-3341
Country : US
Telephone Number : 504-899-6873
Fax Number :
Authorized Official
Title or Position : LICENSED PSYCHOLOGIST / OWNER
Name : ROBERT KIZER
Credential : PHD
Telephone Number : 504-390-5782
Provider Enumeration Date : 03/27/2016
Last Update Date : 03/27/2016

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Directions to “BOBBY KIZER PHD LLC ” Practice Location

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