Most Relevant Information
Provider Data
| NPI Number: | 1003270182 |
| Provider Name: | LINDA DILLARD |
| Entity Type: | Individual |
| Taxonomy Code: | 251S00000X |
| Specialty: | Community/Behavioral Health |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/05/2016 |
| Last Updated: | 04/05/2016 |
Provider Practice Location
215 E PENNSYLVANIA AVE
VIVIAN
LA
710823135
Practice Location Phone/Fax
| Phone: | 3183752176 |
| Fax: |
Provider Mailing Location
215 E PENNSYLVANIA AVE
VIVIAN
LA
710823135
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |