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NPI Code Detail

MEDICARE: ALLY DEVER BS

MEDICARE: ALLY DEVER BS
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
1101Y00000XCounselor
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1467823690
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLY DEVER BS
Provider Business Mailing Address
First Line : 4403 CANAL ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-5946
Country : US
Telephone Number : 504-896-2345
Fax Number : 504-896-2240
Provider Business Practice Location Address
First Line : 4403 CANAL ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-5946
Country : US
Telephone Number : 504-896-2345
Fax Number : 504-896-2240
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2015
Last Update Date : 05/11/2026

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Directions to “ ALLY DEVER BS” Practice Location

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