Individual
MICHELE LARZELERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4025
(504) 842-0401
Mailing address
1514 JEFFERSON HWY, SUITE 1640, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
820
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09572379
—
MS
05
—
1563595
—
LA
Enumeration date
07/25/2006
Last updated
02/22/2017
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