Healthcare Provider Details

I. General information

NPI: 1225259732
Provider Name (Legal Business Name): ANDREA KELLY O'LEARY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TULANE UNIVERSITY DEPARTMENT OF CHILD ADOL PSYCHIATRY 1440 CANAL STREET TB52
NEW ORLEANS LA
70112-0000
US

IV. Provider business mailing address

3924 ANNUNCIATION STREET
NEW ORLEANS LA
70115
US

V. Phone/Fax

Practice location:
  • Phone: 504-988-7829
  • Fax:
Mailing address:
  • Phone: 504-899-0189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number200767
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number200767
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: