Healthcare Provider Details

I. General information

NPI: 1598845273
Provider Name (Legal Business Name): DARREN M. STROTHER PH.D,
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 KALISTE SALOOM RD SUITE 103
LAFAYETTE LA
70508-4230
US

IV. Provider business mailing address

850 KALISTE SALOOM RD SUITE 103
LAFAYETTE LA
70508
US

V. Phone/Fax

Practice location:
  • Phone: 337-235-5676
  • Fax: 337-235-5642
Mailing address:
  • Phone: 337-235-5676
  • Fax: 337-235-5642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number1017
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1017
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: