| Pennington Biomedical Research Center | |
|
6400 Perkins Rd Baton Rouge LA 70808-0102 | |
| (225) 763-3101 | |
| (225) 763-3102 |
| Full Name | Pennington Biomedical Research Center |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6400 Perkins Rd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Guy Joel Lavergne (CFO/COO) |
| Authorized Official Contact | 2257633101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennington Biomedical Research Center 6400 Perkins Rd Baton Rouge LA 70808-0102 Ph: (225) 763-3101 | Pennington Biomedical Research Center 6400 Perkins Rd Baton Rouge LA 70808-0102 Ph: (225) 763-3101 |
| NPI Number | 1922566934 |
|---|---|
| Provider Enumeration Date | 03/08/2019 |
| Last Update Date | 04/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922566934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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