Forman Leboeuf, Maryelizabeth
Forman Leboeuf, Maryelizabeth is an individual health care provider with primary practice located at 1651 Thibodeaux Ave Ste A , Baton Rouge LA 70806-8271. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Forman Leboeuf, Maryelizabeth can be contacted via phone (225) 267-7763.Contact Information
Primary practice address
1651 Thibodeaux Ave Ste A
Baton Rouge LA 70806-8271
Phone: (225) 267-7763
Fax: (855) 398-6697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 975 | Louisiana |
Profile Details
| NPI number | 1750384103 |
|---|---|
| LBN Legal business name | Forman Leboeuf, Maryelizabeth |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | May 25th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750384103 | NPPES |
| Louisiana | MEDICAID | 2128850 |
Popular Providers
-
Vincent, Curtis
7931 Picardy Ave Suite B, Baton Rouge LA 70809-3513 -
Garrett, Virginia Diane
7916 Wrenwood Blvd Suite C, Baton Rouge LA 70809-1782 -
Mccain, Alyson Powell
10211 Siegen Lane Ste 2B, Baton Rouge LA 70810 -
Upton, Linda R
10630 N Oak Hills Pkwy Suite B, Baton Rouge LA 70810-2859 -
Fain, Thomas Carl
10641 Hillary Ct Suite 1, Baton Rouge LA 70810-2842 -
Schwehm, Kirsten Williams
2223 Quail Run Ste H1 , Baton Rouge LA 70808 -
Jones, Glenn N
2900 Westfork Dr Suite 200, Baton Rouge LA 70827-0004 -
Varnado-Sullivan, Paula J
740 Colonial Dr , Baton Rouge LA 70806-6511