Provider Demographics
NPI:1982098943
Name:ASSESSMENT & PSYCHOLOGICAL SERVICES, INC
Entity Type:Organization
Organization Name:ASSESSMENT & PSYCHOLOGICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PELLEGRIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-769-8335
Mailing Address - Street 1:4300 S I 10 SERVICE RD W STE 112
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-7425
Mailing Address - Country:US
Mailing Address - Phone:225-405-4401
Mailing Address - Fax:
Practice Address - Street 1:4300 S I 10 SERVICE RD W STE 112
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-7425
Practice Address - Country:US
Practice Address - Phone:225-405-4401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1296103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty