Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 1317 | LA |
N | 103T00000X | Psychologist | 1317 | LA |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 1317 | KY |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 1317 | LA |
Y | 103G00000X | Clinical Psychologist | 1317 | LA |
Y | 103TC0700X | Clinical Psychologist | 1317 | LA |
N | 103TF0200X | Forensic Psychologist | 1317 | LA |
NPI | 1144697657 |
---|---|
Provider Name | Laura Brown |
First Address | Baton Rouge, LA 70808 |
Second Address | Baton Rouge, LA 70808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2015 |
Last Update Date | 28/10/2020 |