Provider Demographics
NPI:1144380270
Name:NEMETH, DARLYNE GAYNOR (PHD)
Entity Type:Individual
Prefix:DR
First Name:DARLYNE
Middle Name:GAYNOR
Last Name:NEMETH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4611 BLUEBONNET BLVD
Mailing Address - Street 2:STE. B
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-9633
Mailing Address - Country:US
Mailing Address - Phone:225-926-7500
Mailing Address - Fax:225-924-0188
Practice Address - Street 1:4611 BLUEBONNET BLVD
Practice Address - Street 2:STE. B
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-9633
Practice Address - Country:US
Practice Address - Phone:225-926-7500
Practice Address - Fax:225-924-0188
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA237103TC0700X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist