Organization
MICHAEL BERARD, PH.D., M.P., A PROFESSIONAL PSYCHOLOGY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BERARD PH.D., MPAP (MEDICAL PSYCHOLOGIST)
(337) 233-7867
Entity
Organization
Contact information
Practice address
601 W SAINT MARY BLVD, SUITE 406, LAFAYETTE, LA 70506-3568
(337) 233-7867
(337) 235-7199
Mailing address
PO BOX 52612, LAFAYETTE, LA 70505-2612
(337) 233-7867
(337) 235-7199
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
MPAP.000010
LA
103TC0700X
Clinical Psychologist
MPAP.000010
LA
103TP0016X
Prescribing (Medical) Psychologist
Primary
MPAP.000010
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1929191
—
LA
Enumeration date
09/16/2010
Last updated
11/14/2016
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