Individual
DR. DARLA MICHELE RUTHERFORD BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., M.P.
Contact information
Practice address
10101 PARK ROWE AVE, STE. 200, BATON ROUGE, LA 70810-1686
(225) 769-2200
(225) 768-2185
Mailing address
PO BOX 98509, BATON ROUGE, LA 70884-9509
(225) 769-2200
(225) 768-2185
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
871MP
LA
103TP0016X
Prescribing (Medical) Psychologist
871MP
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MP.000871
MP LICENSE
LA
Enumeration date
01/04/2007
Last updated
03/02/2017
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