Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0700X | Adult Development & Aging Psychologist | 991 | LA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 991 | LA |
Y | 103G00000X | Clinical Psychologist | 991 | LA |
Y | 103TC0700X | Clinical Psychologist | 991 | LA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 991 | LA |
N | 103TF0000X | Family Psychologist | 991 | LA |
N | 103TS0200X | School Psychologist | 991 | LA |
NPI | 1093995177 |
---|---|
Provider Name | Dr. Joseph Anthony Lamanna |
First Address | Pineville, LA 71360-5846 |
Second Address | Pineville, LA 71360-5846 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2007 |
Last Update Date | 12/02/2009 |