Individual
DR. ROBERT NEVELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2320 DRUSILLA LN STE E, BATON ROUGE, LA 70809-1495
(225) 930-4530
(225) 930-4532
Mailing address
614 WENDOVER DR, RIDGELAND, MS 39157-2849
(601) 853-3667
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
MS28405
MS
103TC0700X
Clinical Psychologist
MS28405
MS
103TP0016X
Prescribing (Medical) Psychologist
Primary
MP000035
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MS 28405
MS LIC #
MS
01
—
TN 0945
TN LICENSE #
TN
Enumeration date
05/15/2007
Last updated
07/21/2022
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