Provider Demographics
NPI:1306187083
Name:ESCANDELL & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:ESCANDELL & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:ESCANDELL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:318-451-1115
Mailing Address - Street 1:6016 NAVAHO TRL
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-2735
Mailing Address - Country:US
Mailing Address - Phone:318-451-1115
Mailing Address - Fax:318-448-9088
Practice Address - Street 1:6016 NAVAHO TRL
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-2735
Practice Address - Country:US
Practice Address - Phone:318-451-1115
Practice Address - Fax:318-448-9088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-06
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA784103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty