Healthcare Provider Details

I. General information

NPI: 1841433828
Provider Name (Legal Business Name): MEGAN THOMPSON D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2009
Last Update Date: 05/07/2021
Certification Date: 05/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 CANAL ST TULANE PSYCHIATRY, TB53
NEW ORLEANS LA
70112-2703
US

IV. Provider business mailing address

1440 CANAL ST TULANE PSYCHIATRY, TB53
NEW ORLEANS LA
70112-2703
US

V. Phone/Fax

Practice location:
  • Phone: 504-988-4272
  • Fax: 504-988-4270
Mailing address:
  • Phone: 504-988-4272
  • Fax: 504-988-4270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084S0010X
TaxonomySports Medicine (Psychiatry & Neurology) Physician
License NumberDO.000263
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDO.000263
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: