| Professional Psychotherapy Network, Inc. | |
|
1529 River Oaks Rd W New Orleans LA 70123-2162 | |
| (504) 729-4414 | |
| (504) 729-4415 |
| Full Name | Professional Psychotherapy Network, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1529 River Oaks Rd W, New Orleans, Louisiana |
| Authorized Official Name and Position | Tricia B Mogg (MEDICAL BILLER) |
| Authorized Official Contact | 5047294414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Psychotherapy Network, Inc. 1529 River Oaks Rd W New Orleans LA 70123-2162 Ph: (504) 729-4414 | Professional Psychotherapy Network, Inc. 1529 River Oaks Rd W New Orleans LA 70123-2162 Ph: (504) 729-4414 |
| NPI Number | 1730356163 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 10/14/2008 |
| Medicare PECOS PAC ID | 2567530819 |
|---|---|
| Medicare Enrollment ID | O20081014000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730356163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 02763R (Louisiana) | Primary |
| Provider Name | George C Daul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629039839 PECOS PAC ID: 7214005552 Enrollment ID: I20081014000248 |
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