Organization
THE PSYCHOLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN NIXON SCOTT PH.D. (PRESIDENT)
(225) 925-2036
Entity
Organization
Contact information
Practice address
7936 WRENWOOD BLVD STE B, BATON ROUGE, LA 70809-7701
(225) 925-2036
(225) 928-7102
Mailing address
7936 WRENWOOD BLVD STE B, BATON ROUGE, LA 70809-7701
(225) 925-2036
(225) 928-7102
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7221344841
OUT PATIENT MENTAL HEALTH
LA
Enumeration date
02/27/2007
Last updated
08/22/2020
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