Healthcare Provider Details

I. General information

NPI: 1356980064
Provider Name (Legal Business Name): DARSHINI DEUTSCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2019
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date: 02/10/2025
Reactivation Date: 06/25/2025

III. Provider practice location address

10450 ELLERBE RD
SHREVEPORT LA
71106-7712
US

IV. Provider business mailing address

2700 WAUBUN ST
MARSHALL TX
75672-7568
US

V. Phone/Fax

Practice location:
  • Phone: 318-780-4419
  • Fax:
Mailing address:
  • Phone: 318-426-6874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: