Individual
DR. LISA-ANN JUDITH CUCCURULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3500 CANAL ST, ROOM 211, NEW ORLEANS, LA 70119-6109
(504) 571-8303
Mailing address
3500 CANAL ST, ROOM 211, NEW ORLEANS, LA 70119-6109
(504) 571-8303
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1232
LA
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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