Maryelizabeth Leboeuf PHD, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MARYELIZABETH LEBOEUF PHD, LLC

Practice address

1651 Thibodeaux Ave Ste a
Baton Rouge, LA 70806-8271

Phone

(225) 267-7763

Fax

(855) 398-6697

NPI assigned

Aug 25, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Maryelizabeth Forman Leboeuf, PHD

Title

Owner

Phone

(225) 267-7763

Specialties & licenses 1

Addresses

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maryelizabeth Forman Leboeuf, PH.D.

  • Clinical Psychologist
  • Baton Rouge, LA
  • NPI 1750384103

  Clinical

  NPD

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716595200000",
    "number": "1366055865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 THIBODEAUX AVE STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068271",
            "telephone_number": "225-267-7763",
            "fax_number": "855-398-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 THIBODEAUX AVE STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068271",
            "telephone_number": "225-267-7763",
            "fax_number": "855-398-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYELIZABETH LEBOEUF PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A",
        "authorized_official_last_name": "LEBOEUF",
        "authorized_official_first_name": "MARYELIZABETH",
        "authorized_official_middle_name": "FORMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-267-7763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Baton Rouge, LA
• Clinical Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2024; 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.