Provider Demographics
NPI:1598845273
Name:STROTHER, DARREN M (PHD,)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:M
Last Name:STROTHER
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Gender:M
Credentials:PHD,
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Mailing Address - Street 1:850 KALISTE SALOOM RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508
Mailing Address - Country:US
Mailing Address - Phone:337-235-5676
Mailing Address - Fax:337-235-5642
Practice Address - Street 1:850 KALISTE SALOOM RD
Practice Address - Street 2:SUITE 103
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-4230
Practice Address - Country:US
Practice Address - Phone:337-235-5676
Practice Address - Fax:337-235-5642
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA1017103G00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist