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General NPI Number Information
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NPI Number | 1023178100
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Entity Type | Organization
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Legal Business Name | NEUROPSYCHOLOGY CENTER OF LOUISIANA, LLC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4611 BLUEBONNET BLVD STE. B
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City | BATON ROUGE
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State | LA
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Zip | 70809-9633
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Country | US
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Telephone | 225-926-7500
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Fax | 225-924-0188
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Provider Business Mailing Address
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Address Line | 4611 BLUEBONNET BLVD STE. B
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City | BATON ROUGE
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State | LA
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Zip | 70809-9633
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Country | US
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Telephone | 225-926-7500
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Fax | 225-924-0188
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Authorized Official
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Title or Position | CLINICAL AND NEUROPSYCHOLOGIST
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Name | DR. DARLYNE GAYNOR NEMETH
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Credential | PH.D.
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Telephone | 225-926-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 237
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 237
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License Number State | LA
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