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NPI Code Detail

MEDICARE: BERNARD W. WALDMANN PH.D.

MEDICARE: BERNARD W. WALDMANN PH.D.
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
1103TC0700XClinical Psychologist572LA

General Provider Information

NPI Number : 1265570154
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNARD W. WALDMANN PH.D.
Provider Business Mailing Address
First Line : 210 STATE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70118-5735
Country : US
Telephone Number : 504-897-3400
Fax Number :
Provider Business Practice Location Address
First Line : 210 STATE STREET
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70118-5735
Country : US
Telephone Number : 504-897-3400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 07/08/2007

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Directions to “ BERNARD W. WALDMANN PH.D.” Practice Location

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