Most Relevant Information
Provider Data
| NPI Number: | 1003435298 |
| Provider Name: | SCHYVANDA THERESA BARANCO |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/09/2020 |
| Last Updated: | 07/06/2020 |
Provider Practice Location
1017 SAINT JOHN ST
LAFAYETTE
LA
705016711
Practice Location Phone/Fax
| Phone: | 3372612300 |
| Fax: |
Provider Mailing Location
449 E SAINT PETER ST
NEW IBERIA
LA
705603752
Provider Mailing Phone/Fax
| Phone: | 3373219204 |
| Fax: | 3373219210 |