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Individual

EILEEN I. CORREA

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) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000355
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2403435
LA
Enumeration date
04/27/2006
Last updated
11/09/2015
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