Provider Demographics
NPI:1376640243
Name:TOUPS, PATRICIA A (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:A
Last Name:TOUPS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4919 JAMESTOWN AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-3228
Mailing Address - Country:US
Mailing Address - Phone:800-508-5925
Mailing Address - Fax:800-508-5925
Practice Address - Street 1:4919 JAMESTOWN AVE
Practice Address - Street 2:STE 101
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-3228
Practice Address - Country:US
Practice Address - Phone:800-508-5925
Practice Address - Fax:800-508-5925
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0209202084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1659762Medicaid
5R403DD21Medicare PIN