Organization
MARYELIZABETH LEBOEUF PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYELIZABETH FORMAN LEBOEUF PHD (OWNER)
(225) 267-7763
Entity
Organization
Contact information
Practice address
1651 THIBODEAUX AVE STE A, BATON ROUGE, LA 70806-8271
(225) 267-7763
(855) 398-6697
Mailing address
1651 THIBODEAUX AVE STE A, BATON ROUGE, LA 70806-8271
(225) 267-7763
(855) 398-6697
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
05/25/2024
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