Individual
JORGE H. DARUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1514 JEFFERSON HIGHWAY, SUITE 101, NEW ORLEANS, LA 70121-2429
(504) 842-3845
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
463
LA
103TC0700X
Clinical Psychologist
463
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00402555
—
MS
05
—
1537802
—
LA
Enumeration date
01/24/2007
Last updated
04/27/2011
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