NPI | 1699083261 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL BERARD Medical Psychologist 337-233-7867 |
Organization Subpart ? | No |
Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA MPAP.000010) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: LA MPAP.000010) |
103TC0700X Psychologist, Clinical (Licence: LA MPAP.000010) | |
Enumeration Date | 2010-09-16 |
Last Update Date | 2016-11-14 |