| Psychiatry Nola | |
|
1426 Amelia St New Orleans LA 70115-3622 | |
| (504) 952-6322 | |
| (504) 897-4876 |
| Full Name | Psychiatry Nola |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1426 Amelia St, New Orleans, Louisiana |
| Authorized Official Name and Position | Colleen Shannon Hagemann (OWNER) |
| Authorized Official Contact | 5049526322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry Nola 1426 Amelia St New Orleans LA 70115-3622 Ph: (504) 952-6322 | Psychiatry Nola 1426 Amelia St New Orleans LA 70115-3622 Ph: (504) 952-6322 |
| NPI Number | 1013472364 |
|---|---|
| Provider Enumeration Date | 01/31/2019 |
| Last Update Date | 01/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013472364 | NPI | - | NPPES |
| 1609190636 | Other | LA | CHILD AND ADOLESCENT PSYCHIATRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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