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NPI Code Detail

MEDICARE: DR. VERA BILLY PHD, LPC, RPT

MEDICARE: DR. VERA BILLY PHD, LPC, RPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor3034LA

General Provider Information

NPI Number : 1003097056
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VERA BILLY PHD, LPC, RPT
Provider Business Mailing Address
First Line : 137 N CLARK ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-5207
Country : US
Telephone Number : 504-919-0451
Fax Number :
Provider Business Practice Location Address
First Line : 137 N CLARK ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-5207
Country : US
Telephone Number : 504-919-0451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2007
Last Update Date : 11/19/2007

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