Individual provider · Type 1 NPI

Renee Babin Bonin, PhD, MPAP

Prescribing (Medical) Psychologist · Lafayette, LA

NPI number 1356555874 Active

Practice location

200 Beaullieu Dr Bldg 9B-1
Lafayette, LA 70508-7230

Fax (337) 504-3573

Mailing address

601 W Saint Mary Blvd, Suite 406
Lafayette, LA 70506-3568

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XMP.0005 (LA)
Prescribing (Medical) Psychologist Primary 103TP0016XMP.0005 (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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

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About NPI 1356555874

Renee Babin Bonin, PhD, MPAP's National Provider Identifier is 1356555874, issued on May 10, 2007. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Lafayette, LA. The record was last updated on Nov 25, 2019.