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NPI Code Detail

MEDICARE: DR. CHRISTEN CALI VANASSELBERG M.D.

MEDICARE: DR. CHRISTEN CALI VANASSELBERG M.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
1106S00000XBehavior TechnicianLA
22084P0800XPsychiatry Physician21142MS

General Provider Information

NPI Number : 1396821773
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTEN CALI VANASSELBERG M.D.
Provider Business Mailing Address
First Line : 4201 N I 10 SERVICE RD W
Second Line :
City : METAIRIE
State : LA
Zip : 70006-6713
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4201 N I 10 SERVICE RD W
Second Line :
City : METAIRIE
State : LA
Zip : 70006-6713
Country : US
Telephone Number : 769-233-1546
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2006
Last Update Date : 03/06/2022

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