{"npi":"1750384103","type":"NPI-1","status":"active","name":{"display":"Dr. Maryelizabeth Forman Leboeuf PH.D.","other":[{"code":"1","type":"Formerly known as","value":"FORMAN LEBOEUF, MARYELIZABETH"}],"first":"MARYELIZABETH","last":"FORMAN LEBOEUF","credential":"PH.D."},"specialty":{"primary_taxonomy":"103TC0700X","primary_taxonomy_description":"Clinical Psychologist","slug":"clinical-psychologist","schema_org_specialty":null,"all":[{"code":"103TC0700X","description":"Clinical Psychologist","primary":true,"state":"LA","license":"975"}]},"addresses":[{"purpose":"LOCATION","street_1":"1651 THIBODEAUX AVE STE A","city":"BATON ROUGE","state":"LA","postal_code":"708068271","country_code":"US","phone":"2252677763","fax":"8553986697"},{"purpose":"MAILING","street_1":"1651 THIBODEAUX AVE STE A","city":"BATON ROUGE","state":"LA","postal_code":"708068271","country_code":"US","phone":"2252677763","fax":"8553986697"}],"license":{"state":"LA","number":"975"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2128850","state":"LA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-05-31","last_updated":"2024-05-25","_meta":{"source":"NPPES","snapshot_date":"2024-05-25","doc_url":"https://findmynpi.com/api"}}