Individual
DR. SHANI KATHLEEN MICHELE VENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
1430 TULANE AVE # 8055, NEW ORLEANS, LA 70112-2632
(504) 988-7829
(504) 988-4264
Mailing address
1430 TULANE AVE # 8055, NEW ORLEANS, LA 70112-2632
(504) 988-7829
(504) 988-4264
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
327574
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2021
Last updated
06/30/2022
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