Individual
MICHAEL D CHAFETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., ABPP
Contact information
Practice address
3520 GENERAL DEGAULLE DR, SUITE 3044, NEW ORLEANS, LA 70114-6757
(336) 659-8536
Mailing address
3520 GENERAL DEGAULLE DR, SUITE 3044, NEW ORLEANS, LA 70114-6757
(336) 659-8536
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
762
LA
103TC0700X
Clinical Psychologist
762
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1695513
—
LA
Enumeration date
04/07/2006
Last updated
03/14/2014
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