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Individual

DR. JULIE MARIE BAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
69318 HIGHWAY 21, COVINGTON, LA 70433-7220
(985) 875-2828
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD.200820
LA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD.200820
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1502812
LA
Enumeration date
07/16/2006
Last updated
11/01/2025
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