Robert Lawrence Landry Jr., PH.D., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0936 Issued in MS

Practice address

2809 Denny Ave
Suite 1005
Pascagoula, MS 39581-5301

Phone

(228) 497-1446

NPI assigned

May 20, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Buddy Landry Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316155484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 SANDALWOOD PL",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395537707",
            "telephone_number": "228-497-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 DENNY AVE",
            "address_2": "SUITE 1005",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815301",
            "telephone_number": "228-497-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "ROBERT",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "0936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BUDDY",
            "last_name": "LANDRY",
            "prefix": "DR.",
            "credential": "PH.D., LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anna Elizabeth Koesy
• Daniel Krebs, M.D
• Katherine Rae Kuluz, PA-C
• Matthew Francis Kuluz, M.D.
• Brandy Monique Kyse
• Rosalie Langlinais
• Joseph Lasserre
• Terral Latady
• Lawrence A. Leake, MD
• Jason Lee

• All providers in Pascagoula, MS
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.