Provider Demographics
NPI:1215269030
Name:GASPARD, YVONNE BYRD (MED, LPC,NCC)
Entity type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:BYRD
Last Name:GASPARD
Suffix:
Gender:F
Credentials:MED, LPC,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 322
Mailing Address - Street 2:
Mailing Address - City:DESTREHAN
Mailing Address - State:LA
Mailing Address - Zip Code:70047-0322
Mailing Address - Country:US
Mailing Address - Phone:504-782-4269
Mailing Address - Fax:
Practice Address - Street 1:1308 PAUL MAILLARD RD
Practice Address - Street 2:
Practice Address - City:LULING
Practice Address - State:LA
Practice Address - Zip Code:70070-4548
Practice Address - Country:US
Practice Address - Phone:504-782-4269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1075101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor