Basic Information
| Provider Information | |||||||||
| NPI: | 1003156977 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ESCANDELL | ||||||||
| FirstName: | CINDY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PSYD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6016 NAVAHO TRL | ||||||||
| Address2: | |||||||||
| City: | ALEXANDRIA | ||||||||
| State: | LA | ||||||||
| PostalCode: | 713012735 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3184511110 | ||||||||
| FaxNumber: | 3184489088 | ||||||||
| Practice Location | |||||||||
| Address1: | 6016 NAVAHO TRL | ||||||||
| Address2: | |||||||||
| City: | ALEXANDRIA | ||||||||
| State: | LA | ||||||||
| PostalCode: | 713012735 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3184511110 | ||||||||
| FaxNumber: | 3184489088 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/28/2013 | ||||||||
| LastUpdateDate: | 02/28/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 3631 | LA | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.