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Individual

DR. MICHAEL BERNARD ATKINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2214 QUAIL RUN, BATON ROUGE, LA 70808-4128
(225) 239-2871
(225) 240-8053
Mailing address
2214 QUAIL RUN, BATON ROUGE, LA 70808-4128
(225) 239-2871
(225) 240-8053

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
358
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2184105
LA
Enumeration date
12/16/2009
Last updated
06/17/2015
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