Organization · Type 2 NPI

Family Psychology and Counseling

Prescribing (Medical) Psychologist · Shreveport, LA

NPI number 1730446410 Active

Practice location

1513 Line Ave, Suite 305
Shreveport, LA 71101-4621

Fax (318) 868-2035

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Psychologist 103T00000XNone listed
Prescribing (Medical) Psychologist Primary 103TP0016XNone listed

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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…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 1730446410

Family Psychology and Counseling's National Provider Identifier is 1730446410, issued on Apr 18, 2012. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Shreveport, LA. The record was last updated on Apr 18, 2012.