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NPI Code Detail

MEDICARE: DR. MEGHAN BORNE PH.D.

MEDICARE: DR. MEGHAN BORNE PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist644WY
2103TC0700XClinical Psychologist1477LA

General Provider Information

NPI Number : 1134601891
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEGHAN BORNE PH.D.
Provider Business Mailing Address
First Line : 6509 COLISEUM BLVD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-3733
Country : US
Telephone Number : 504-475-7799
Fax Number :
Provider Business Practice Location Address
First Line : 1000 AIRBASE RD.
Second Line :
City : POLLOCK
State : LA
Zip : 71467
Country : US
Telephone Number : 504-475-7799
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2018
Last Update Date : 11/14/2018

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Directions to “ DR. MEGHAN BORNE PH.D.” Practice Location

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