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:
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Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962554790 NPPES
Louisiana MEDICAID 2125541

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