| Diana B. Mccrory, Inc. | |
|
4902 Canal St Ste 404 New Orleans LA 70119-5874 | |
| (504) 834-6475 | |
| Not Available |
| Full Name | Diana B. Mccrory, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 4902 Canal St Ste 404, New Orleans, Louisiana |
| Authorized Official Name and Position | Diana B. Mccrory (PRESIDENT) |
| Authorized Official Contact | 5048137530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana B. Mccrory, Inc. 4902 Canal St Ste 404 New Orleans LA 70119-5874 Ph: (504) 834-6475 | Diana B. Mccrory, Inc. 4902 Canal St Ste 404 New Orleans LA 70119-5874 Ph: (504) 834-6475 |
| NPI Number | 1649425042 |
|---|---|
| Provider Enumeration Date | 11/26/2008 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/03/2024 |
| Medicare PECOS PAC ID | 4587725742 |
|---|---|
| Medicare Enrollment ID | O20081205000434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649425042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2397 (Louisiana) | Primary |
| Provider Name | Diana B Mccrory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295822310 PECOS PAC ID: 2062573223 Enrollment ID: I20081205000420 |
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