Individual provider · Type 1 NPI

Edmond X. Bergeron Iii, M.P.

Prescribing (Medical) Psychologist · New Iberia, LA

NPI number 1235211798 Active

Practice location

806 Jefferson Ter
New Iberia, LA 70560-5727

Call (337) 365-4945 Map

Other practice locations

  • 1009 Charity St, Abbeville, LA 70510 · (337) 893-3443
  • 317 Dernier St, St. Martinville, LA 70582-3809 · (337) 342-2566
  • 1004 Surrey St, Lafayette, LA 70501-6143 · (337) 456-6768
  • 3909 Avenue Bonne Terre, New Iberia, LA 70563-3057 · (337) 322-0455

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X606MP (LA)
Prescribing (Medical) Psychologist Primary 103TP0016X606MP (LA)

Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

24 other providers at this address

About NPI 1235211798

Edmond X. Bergeron Iii, M.P.'s National Provider Identifier is 1235211798, issued on Oct 20, 2006. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in New Iberia, LA. The record was last updated on Oct 22, 2019.