Organization
GERIATRIC PSYCHOLOGICAL SERVICES OF LOUISIANA APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMOND X BERGERON PH.D., M.P (PSYCHOLOGIST)
(337) 267-1444
Entity
Organization
Contact information
Practice address
100 ASMA BLVD, SUITE 237E, LAFAYETTE, LA 70508-3858
(337) 267-1444
Mailing address
100 ASMA BLVD, SUITE 237E, LAFAYETTE, LA 70508-3858
(337) 267-1444
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/08/2011
Last updated
02/27/2013
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