| Suzanne Chabaud, Llc | |
|
315 Metairie Rd Ste 200 Metairie LA 70005-4337 | |
| (504) 915-9590 | |
| (504) 309-4964 |
| Full Name | Suzanne Chabaud, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 315 Metairie Rd Ste 200, Metairie, Louisiana |
| Authorized Official Name and Position | Suzanne A Chabaud (OWNER/DIRECTOR) |
| Authorized Official Contact | 5049159590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne Chabaud, Llc 12333 Willow Dr New Orleans LA 70131-3174 Ph: (504) 915-9590 | Suzanne Chabaud, Llc 315 Metairie Rd Ste 200 Metairie LA 70005-4337 Ph: (504) 915-9590 |
| NPI Number | 1043733009 |
|---|---|
| Provider Enumeration Date | 07/21/2017 |
| Last Update Date | 07/21/2017 |
| Medicare PECOS PAC ID | 4082989942 |
|---|---|
| Medicare Enrollment ID | O20171004000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043733009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 563 (Louisiana) | Primary |
| Provider Name | Suzanne A Chabaud |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558324749 PECOS PAC ID: 7416112073 Enrollment ID: I20171006002731 |
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