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Mr. Matthew Alexander Declouet, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Lafayette, Louisiana
NPI 1518342310

Matthew Alexander Declouet is a Psychiatric/Mental Health Nurse Practitioner based in Lafayette, LA and is specialized in Psychiatric/Mental Health. Matthew Alexander Declouet practices in Lafayette, LA and has the professional credentials of PMHNP. The NPI Number for Matthew Alexander Declouet is 1518342310 and holds a License No. AP08470 (Louisiana).

The current practice location address for Matthew Alexander Declouet is 302 La Rue France Ste 202, Lafayette, LA and can be reached out via phone at 337-534-0971 and via fax at 337-534-0974.

Location: 302 La Rue France Ste 202, Lafayette, LA, 70508-3133
person
Provider Profile Details
NPI Number
1518342310
Provider Name
Matthew Alexander Declouet
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
302 La Rue France Ste 202, Lafayette, LA, 70508-3133
Phone Number
337-534-0971
Fax Number
337-534-0974
Provider Enumeration Date
07/22/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2411608 05 LA
institution
Provider Business Practice Location Address Details
Address
302 La Rue France Ste 202
City
State
Zip
70508-3133
Phone Number
337-534-0971
Fax Number
337-534-0974
person
Provider Business Mailing Address Details
Address
302 La Rue France Ste 202
City
State
Zip
70508-3133
Phone Number
337-534-0971
Fax Number
337-534-0974
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP08470 (Louisiana)
Definition
Definition to come...
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