Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. OCTAVIA LASHAWN LANDRUM, PSY.D.
ActiveDR. OCTAVIA LASHAWN LANDRUM, PSY.D. is a Child, Clinical Psychologist healthcare provider located in FORT POLK, Louisiana. NPI 1356574339 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · FORT POLK, LA
Registration Details
- NPI Number
- 1356574339
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 25, 2009 (16.95213009308 yrs)
- Last Updated
- Jul 7, 2016
- Licenses
-
UNLICENSED (AL)PSY26797 (CA)
Practice Information
- Address
-
1585 3RD STFORT POLK, LA, 714595102Browse LA providers · Browse ZIP 71459
- Phone
- 3375313922
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Child, Clinical Psychologist
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.