John A Brun, PH.D.
Individual provider Active NPI Clinical Psychologist · Baton Rouge, LA
NPI 1891745170 · NPPES record last updated Jul 29, 2010
Key facts
- NPI
- 1891745170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 408 (LA)
- Practice address
- 7510 Highland Rd
Baton Rouge, LA 70808-6726 - Phone
- (225) 766-2822
- Fax
- (225) 766-2823
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 408 | LA | Yes |
Addresses
Primary practice location
7510 Highland Rd
Baton Rouge, LA 70808-6726
Mailing address
7510 Highland Rd
Baton Rouge, LA 70808-6726
Phone (225) 766-2822
Other providers in Baton Rouge, LA
- Gabrielle C Brumfield
- Illona Sarah Brumfield
- Jennifer Brumfield
- Kimberly Sherrell Brumfield
- Tiffanie Brumfield
- Sean Christopher Brune
- Rebekah Gagnard Bruner
- Warner Lee Bruner III
- Sarah Payton Brunet
- Andre H Bruni
All providers in Baton Rouge, 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 29, 2010. 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.