Individual
DR. SETH KUNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., PSY.D.
Contact information
Practice address
2435 DRUSILLA LN, BATON ROUGE, LA 70809-1444
(225) 802-0942
(225) 412-3830
Mailing address
12642 NEWCASTLE AVE, BATON ROUGE, LA 70816-8982
(225) 802-0942
(225) 412-3830
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
523
LA
103TP0016X
Prescribing (Medical) Psychologist
Primary
MP.000037
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1136948
—
LA
01
—
523
CLINICAL PSYCHOLOGY LIC
LA
01
—
MP.000037
MEDICAL PSYCHOLOGIST
LA
Enumeration date
11/28/2006
Last updated
12/05/2016
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