MEDICARE: PODESTA PSYCHIATRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2084P0800X	Psychiatry Physician
2	225700000X	Massage Therapist
3	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1326428269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PODESTA PSYCHIATRY

Provider Business Mailing Address
First Line	:	1511 METAIRIE RD
Second Line	:	SUITE 22
City	:	METAIRIE
State	:	LA
Zip	:	70005-3938
Country	:	US
Telephone Number	:	504-252-0026
Fax Number	:	504-322-3854

Provider Business Practice Location Address
First Line	:	4322 CANAL ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-5945
Country	:	US
Telephone Number	:	504-252-0026
Fax Number	:	504-322-3854

Authorized Official
Title or Position	:	OWNER/MD
Name	:	ARWEN PODESTA
Credential	:	MD
Telephone Number	:	504-252-0026

Provider Enumeration Date	:	06/05/2015
Last Update Date	:	06/05/2015

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Directions to “PODESTA PSYCHIATRY ” Practice Location

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