| 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 |