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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ANNIE WINGATE SPELL, PH.D.

Active Sole Proprietor

DR. ANNIE WINGATE SPELL, PH.D. is a Child, Clinical Psychologist healthcare provider located in LAFAYETTE, Louisiana. NPI 1104068170 is currently active in the NPPES registry. Verify at CMS.

Child, Clinical Psychologist · LAFAYETTE, LA

Registration Details

NPI Number
1104068170
Provider Type
Individual
Gender
Female
NPI Issued
Apr 6, 2009 (17.38820605845 yrs)
Last Updated
Jul 9, 2009
License
1097 (LA)
Sole Proprietor
Yes

Practice Information

Address
119 RUE FOUNTAINE
LAFAYETTE, LA, 705085744
Browse LA providers · Browse ZIP 70508
Phone
3379882874
Fax
3379919165
Primary Specialty
Child, Clinical Psychologist
103TC2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.