Healthcare Provider Details

I. General information

NPI: 1932436458
Provider Name (Legal Business Name): JULIE R ARSENEAU PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2009
Last Update Date: 11/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2237 POYDRAS ST
NEW ORLEANS LA
70119-7561
US

IV. Provider business mailing address

PO BOX 61011
NEW ORLEANS LA
70161-1011
US

V. Phone/Fax

Practice location:
  • Phone: 504-571-8105
  • Fax: 504-571-8140
Mailing address:
  • Phone: 504-571-8105
  • Fax: 504-571-8140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number1116
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: