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LOUISIANA STATE UNIVERSITY NPI 1922566934


NPI Information

NPI: 1922566934
Provider Name: LOUISIANA STATE UNIVERSITY

Doing Business As: PENNINGTON BIOMEDICAL RESEARCH CENTER

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 19D2114117

Address:
6400 PERKINS RD
BATON ROUGE, LA
ZIP 70808
Phone: (225) 763-3101
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LOUISIANA STATE UNIVERSITY is a clinical psychologist in Baton Rouge, LA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. LOUISIANA STATE UNIVERSITY NPI is 1922566934. The provider is registered as an organization entity type.
The provider Is Doing Business As Pennington Biomedical Research Center.

The provider's business location address is:

6400 PERKINS RD
BATON ROUGE, LA
ZIP 70808-102
Phone: (225) 763-3101
Fax: (225) 763-3102

The provider's authorized official is Guy Joel Lavergne .
The authorized official title is Cfo/coo and has the following contact phone number (225) 763-3101.

The CLIA number assigned to this NPI record is 19D2114117 - other - biomedical research facil with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2019 and was last updated on 4/23/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterNo
2103TC0700XPsychologistClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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