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MICHAEL D CHAFETZ PH.D., ABPP

Clinical Neuropsychologist

New Orleans, Louisiana

Provider NPI: 1144283599

Provider Information:
 MICHAEL D CHAFETZ PH.D., ABPP
Gender: M
Sole Proprietor


Practice Location:
3520 GENERAL DEGAULLE DR SUITE 3044 NEW ORLEANS, LA 70114 US
Tel: 336-659-8536  Fax: --

Business Mailing Address:
3520 GENERAL DEGAULLE DR SUITE 3044 NEW ORLEANS, LA 70114 US
Tel: 336-659-8536  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
LA762
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
LA762

Other Provider Identifiers:

IssuerNumberStateType
TIN721466110LA01
1695513LA05
5X182LA04
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS LA - Page 1



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