BRYAN L BOLWAHNN (NPI# 1043247331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043247331 |
Entity Type | Individual |
Full Name | BRYAN L BOLWAHNN |
Credential | PHD, M.P. |
Practice Address |
100 Gayven Dr Ball LA 71405-4903 |
Practice Telephone | 3186410444 |
Practice Fax Number | 3186416118 |
Mailing Telephone | 3186410444 |
Mailing Fax Number | 3186416118 |
Enumeration Date | 2006-06-26 |
Last Update Date | 2013-10-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
926MPAP | LA | Behavioral Health & Social Service Providers |
Street Address |
100 GAYVEN DR |
City | BALL |
State | LA |
Zip Code | 71405-4903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447521455 | Louisiana Autism Center | Psychologist | 100 Gayven Dr, Ball, LA 71405-4903 | 2012-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497785299 | Louisiana Mobility of Central La, Inc | Durable Medical Equipment & Medical Supplies | 5508 Monroe Hwy, Ball, LA 71405 | 2006-07-04 |
1154592996 | Louisiana Community Care, Inc. | Day Training, Developmentally Disabled Services | 5803 Monroe Hwy, Ball, LA 71405 | 2008-03-20 |
1306967435 | Thompson Bros Investments LLC | Technician | 4811 Monroe Hwy, Ball, LA 71405 | 2007-04-03 |
1841663895 | Angela Nickole Solomito Pugh | Midwife | 6709 Monroe Hwy, Ball, LA 71405-3227 | 2015-11-12 |
1477004836 | Edge Medical Services | Clinic/Center | 6709 Monroe Hwy, Ball, LA 71405-3227 | 2016-10-20 |
1740641331 | National Birth Centers Inc | Clinic/Center | 6709 Monroe Hwy, Ball, LA 71405-3227 | 2016-03-10 |
1740479310 | Devinder K. Verma M.d. | Internal Medicine | 6118 Monroe Hwy Ste B, Ball, LA 71405-3251 | 2007-10-19 |
1720086812 | Rajinder Verma | Family Medicine | 6118 Monroe Hwy, Ball, LA 71405-3251 | 2005-07-12 |
1013301100 | Verna Family Medicine | Family Medicine | 6118 Monroe Hwy, Ball, LA 71405-3251 | 2015-03-26 |
1780723841 | Guardian Angels Care Services, Inc. | Day Training, Developmentally Disabled Services | 104 Morgan St, Ball, LA 71405-3306 | 2007-02-05 |
Find all providers in zip 71405 |
Taxonomy Code | 103TP0016X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Prescribing (Medical) |
Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790297182 | George S. Park, Phd., Mp., A Psychology Corporation | Psychologist | 2285 Benton Rd Ste 401, Bossier City, LA 71111-7933 | 2017-10-25 |
1669887907 | John Courtney LLC | Psychologist | 118 Terra Bella Blvd, Suite 101, Covington, LA 70433-8148 | 2014-06-25 |
1730520925 | Faw Services, LLC | Psychologist | 223 Bellingrath Pl, Madisonville, LA 70447-3421 | 2013-07-16 |
1134418502 | Psychological Health Care of South Louisiana | Psychologist | 1016 Houma St, Houma, LA 70360-4420 | 2011-04-06 |
1922234566 | Felicia Ann Whiteman | Psychologist | 2331 Carey St, Slidell, LA 70458-3627 | 2009-06-10 |
1861627465 | Lakisha Shantell Williams | Psychologist | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2009-05-26 |
1710101373 | Rebecca Faye Nolan | Psychologist | 111 Carroll St, Shreveport, LA 71105-4203 | 2007-04-12 |
1013131267 | Dr. Maria B. Cruse Apmg | Psychologist | 604 North Acadia Road, Suite 201, Thibodaux, LA 70301 | 2007-04-12 |
1093860371 | Maxine Elizabeth Campbell-flint | Psychologist | 412 N 4th St, Suite 100, Baton Rouge, LA 70802-5523 | 2007-01-24 |
1104925932 | Williams Consulting Inc. | Psychologist | 1410 Royal Ave, Monroe, LA 71201-5608 | 2006-09-21 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.