Individual
DR. MICHAEL BERARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., M.P.
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
06/11/2006
Last updated
09/17/2010
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