Cavanaugh, Amy E
Cavanaugh, Amy E is an sole proprietor health care provider with primary practice located at 3312 Kaliste Saloom Rd Bldg 1 , Lafayette LA 70508-7449. She recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cavanaugh, Amy E can be contacted via phone (337) 534-0727.Contact Information
Primary practice address
3312 Kaliste Saloom Rd Bldg 1
Lafayette LA 70508-7449
Phone: (337) 534-0727
Fax: (337) 534-0737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 998 | Louisiana |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 998 | Louisiana |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 998 | Louisiana |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 998 | Louisiana |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 998 | Louisiana |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 998 | Louisiana |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 998 | Louisiana |
Profile Details
| NPI number | 1962554790 |
|---|---|
| LBN Legal business name | Cavanaugh, Amy E |
| Credentials | PHD LLC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jan 31st, 2024 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962554790 | NPPES |
| Louisiana | MEDICAID | 2125541 |
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