Mark Anthony Augustine
Individual provider Active NPI Clinical Psychologist · Marksville, LA
NPI 1346088747 · NPPES record last updated Jul 18, 2024
Key facts
- NPI
- 1346088747
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 800727633 (LA)
- Practice address
- 645 Richelieu Pkwy
Marksville, LA 71351-2756 - Phone
- (318) 308-0970
- NPI assigned
- Jul 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health for Our Kids | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 800727633 | LA | Yes |
Addresses
Primary practice location
645 Richelieu Pkwy
Marksville, LA 71351-2756
Mailing address
645 Richelieu Pkwy
Marksville, LA 71351-2756
Phone (318) 308-0970
Other providers in Marksville, LA
- Kathleen Anthony
- Tiffany Arceneaux
- Ashley Ard
- Terry Armand
- Atlas Chiropractic Center
- Avoyelles Adult Care a Professional Medical Corporation
- Avoyelles Council on Aging, Inc.
- Avoyelles Emergency Group LLC
- Avoyelles Family Care
- Avoyelles Open MRI, LLC
All providers in Marksville, LA · Clinical Psychologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.