Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 103G00000X | Clinical Neuropsychologist | | 722 MP | LOUISIANA | No |
| 2 | 103TC0700X | Psychologist | Clinical | 722 MP | LOUISIANA | No |
| 3 | 103TC2200X | Psychologist | Clinical Child & Adolescent | 722 MP | LOUISIANA | No |
| 4 | 106H00000X | Marriage & Family Therapist | | 722 MP | LOUISIANA | No |
| 5 | 103TP0016X | Psychologist | Prescribing (Medical) | 722 MP | LOUISIANA | Yes |