Individual provider · Type 1 NPI
Renee Babin Bonin, PhD, MPAP
Prescribing (Medical) Psychologist · Lafayette, LA
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
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | MP.0005 (LA) |
| Prescribing (Medical) Psychologist Primary | 103TP0016X | MP.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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…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.