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 7 months ago |
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 |
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