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Individual

DR. RENEE BABIN BONIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D, MPAP

Contact information

Practice address
200 BEAULLIEU DR BLDG 9B-1, LAFAYETTE, LA 70508-7230
(337) 504-3483
(337) 504-3573
Mailing address
601 W SAINT MARY BLVD, SUITE 406, LAFAYETTE, LA 70506-3568
(337) 233-7867
(337) 235-7199

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
MP.0005
LA
103TP0016X
Prescribing (Medical) Psychologist
Primary
MP.0005
LA

Other

Enumeration date
05/10/2007
Last updated
11/25/2019
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