NPI Code Details Logo

NPI 1073886396

NPI 1073886396 : RD ASSOCIATES, LLC : BATON ROUGE, LA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1073886396
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    RD ASSOCIATES, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/16/2012
-----------------------------------------------------
    Last Update Date     |    02/16/2012
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    740 COLONIAL DR 
-----------------------------------------------------
    City                 |    BATON ROUGE
-----------------------------------------------------
    State                |    LA
-----------------------------------------------------
    Zip                  |    70806-6511
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    225-216-9422
-----------------------------------------------------
    Fax                  |    225-216-1260
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    740 COLONIAL DR 
-----------------------------------------------------
    City                 |    BATON ROUGE
-----------------------------------------------------
    State                |    LA
-----------------------------------------------------
    Zip                  |    70806-6511
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    225-216-9422
-----------------------------------------------------
    Fax                  |    225-216-1260
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |    DR. ROBERT D. DAVIS 
-----------------------------------------------------
    Credential           |    PH.D., M.P.
-----------------------------------------------------
    Telephone            |    225-216-9422
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YA0400X
-----------------------------------------------------
    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    103G00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Neuropsychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    103T00000X
-----------------------------------------------------
    Taxonomy Name        |    Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    103TA0400X
-----------------------------------------------------
    Taxonomy Name        |    Addiction (Substance Use Disorder) Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    103TB0200X
-----------------------------------------------------
    Taxonomy Name        |    Cognitive & Behavioral Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    103TC0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    103TC1900X
-----------------------------------------------------
    Taxonomy Name        |    Counseling Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    103TC2200X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Child & Adolescent Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #9
-----------------------------------------------------
    Taxonomy Code        |    103TF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #10
-----------------------------------------------------
    Taxonomy Code        |    103TF0200X
-----------------------------------------------------
    Taxonomy Name        |    Forensic Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #11
-----------------------------------------------------
    Taxonomy Code        |    103TH0004X
-----------------------------------------------------
    Taxonomy Name        |    Health Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #12
-----------------------------------------------------
    Taxonomy Code        |    103TM1800X
-----------------------------------------------------
    Taxonomy Name        |    Intellectual & Developmental Disabilities Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #13
-----------------------------------------------------
    Taxonomy Code        |    103TP0814X
-----------------------------------------------------
    Taxonomy Name        |    Psychoanalysis Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #14
-----------------------------------------------------
    Taxonomy Code        |    103TR0400X
-----------------------------------------------------
    Taxonomy Name        |    Rehabilitation Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #15
-----------------------------------------------------
    Taxonomy Code        |    103TP0016X
-----------------------------------------------------
    Taxonomy Name        |    Prescribing (Medical) Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.