NPI 1003338401
Peter Brian Derouen
Practice location
- Address
- 160 Industrial Pkwy STE 105, Lafayette, LA 70508-8309
- Phone
- (337) 298-0990
- Mailing address
- PO Box 61592, Lafayette, LA 70596-1592
Registered specialties
Counselor
Primary
Registry record
- NPI
- 1003338401
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Jul 2017
- Record last updated
- 7 Jul 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.