person
Dr. Mark P. Vigen, PHD
Forensic Psychologist in Shreveport, Louisiana
NPI 1457329120

Mark P. Vigen is a Forensic Psychologist based in Shreveport, LA and is specialized in Forensic. Mark P. Vigen practices in Shreveport, LA and has the professional credentials of PHD. The NPI Number for Mark P. Vigen is 1457329120 and holds a License No. 280 (Louisiana).

The current practice location address for Mark P. Vigen is 3341 Youree Dr Ste 20A, Shreveport, LA and can be reached out via phone at 318-425-2000 and via fax at 318-424-2601. You can also correspond with Mark P. Vigen through the mailing address at 3341 YOUREE DR STE 20A, SHREVEPORT, LA - 71105-2149 (mailing address contact number: 318-425-2000).

Location: 3341 Youree Dr Ste 20A, Shreveport, LA, 71105-2149
person
Provider Profile Details
NPI Number
1457329120
Provider Name
Mark P. Vigen
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
3341 Youree Dr Ste 20A, Shreveport, LA, 71105-2149
Phone Number
318-425-2000
Fax Number
318-424-2601
Provider Enumeration Date
03/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20559 01 LA BLUE CROSS/BLUE SHIELD
009755 01 LA VALUE OPTIONS
institution
Provider Business Practice Location Address Details
Address
3341 Youree Dr Ste 20A
City
State
Zip
71105-2149
Phone Number
318-425-2000
Fax Number
318-424-2601
person
Provider Business Mailing Address Details
Address
3341 Youree Dr Ste 20A
City
State
Zip
71105-2149
Phone Number
318-425-2000
Fax Number
318-424-2601
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Forensic
Taxonomy
License No.
280 (Louisiana)
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
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