IndividualActive
Marc Zimmermann, PH.D., M.P.
NPI 1093743528 · Prescribing (Medical) Psychologist · Baton Rouge, LA
Provider details
- NPI number
- 1093743528
- Entity type
- Individual
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., M.P.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 304 (LA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
11911 Justice Ave
Baton Rouge, LA 70816-2373
Phone: (225) 751-5412
Fax: (225) 751-5847
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 86962
Baton Rouge, LA 70879-6962
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.