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Individual

DR. LISETTE P CONSTANTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1415 TULANE AVE, NEW ORLEANS, LA 70112-2600
(504) 988-5800
Mailing address
1415 TULANE AVE HC71, NEW ORLEANS, LA 70112-2600
(504) 988-5881

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
775
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1122688
LA
Enumeration date
03/08/2007
Last updated
07/08/2007
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