Organization
NORTHSHORE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL MURDOCK M.D. (OWNER)
(504) 237-8673
Entity
Organization
Contact information
Practice address
107 HIGHLAND PARK PLZ, COVINGTON, LA 70433-7128
(985) 892-3178
Mailing address
107 HIGHLAND PARK PLZ, COVINGTON, LA 70433-7128
(985) 892-3178
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10838R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1480851
—
LA
Enumeration date
07/05/2006
Last updated
07/20/2011
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