| Dr. Renee' Babin Bonin, L.l.c. | |
|
200 Beaullieu Dr Bldg 9b-1 Lafayette LA 70508-7230 | |
| (337) 504-3483 | |
| (337) 504-3573 |
| Full Name | Dr. Renee' Babin Bonin, L.l.c. |
|---|---|
| Speciality | Psychologist |
| Location | 200 Beaullieu Dr Bldg 9b-1, Lafayette, Louisiana |
| Authorized Official Name and Position | Renee Babin Bonin (OWNER) |
| Authorized Official Contact | 3375043483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Renee' Babin Bonin, L.l.c. 200 Beaullieu Dr Bldg 9b-1 Lafayette LA 70508-7230 Ph: (337) 504-3483 | Dr. Renee' Babin Bonin, L.l.c. 200 Beaullieu Dr Bldg 9b-1 Lafayette LA 70508-7230 Ph: (337) 504-3483 |
| NPI Number | 1992013569 |
|---|---|
| Provider Enumeration Date | 09/16/2010 |
| Last Update Date | 11/25/2019 |
| Medicare PECOS PAC ID | 4981883220 |
|---|---|
| Medicare Enrollment ID | O20110119000758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992013569 | NPI | - | NPPES |
| Provider Name | Renee B Bonin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356555874 PECOS PAC ID: 9830378181 Enrollment ID: I20110406000710 |
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