Individual
JESSICA BERTHELOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7777 HENNESSY BLVD STE 6000, BATON ROUGE, LA 70808-4366
(225) 765-8648
(225) 765-7898
Mailing address
5246 BRITTANY DR, RM 338, BATON ROUGE, LA 70808-9136
(225) 757-4210
(225) 757-4230
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
308474
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2014
Last updated
01/13/2021
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