Healthcare Provider Details

I. General information

NPI: 1023178100
Provider Name (Legal Business Name): NEUROPSYCHOLOGY CENTER OF LOUISIANA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4611 BLUEBONNET BLVD STE. B
BATON ROUGE LA
70809-9633
US

IV. Provider business mailing address

4611 BLUEBONNET BLVD STE. B
BATON ROUGE LA
70809-9633
US

V. Phone/Fax

Practice location:
  • Phone: 225-926-7500
  • Fax: 225-924-0188
Mailing address:
  • Phone: 225-926-7500
  • Fax: 225-924-0188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number237
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number237
License Number StateLA

VIII. Authorized Official

Name: DR. DARLYNE GAYNOR NEMETH
Title or Position: CLINICAL AND NEUROPSYCHOLOGIST
Credential: PH.D.
Phone: 225-926-7500