Individual
DR. AJA WELCH MENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2510 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118-3119
(318) 212-5200
(318) 212-5595
Mailing address
1202 LOUISIANA AVE, SHREVEPORT, LA 71101-3910
(318) 212-8574
(318) 212-4153
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD.203155
LA
2084P0804X
Child & Adolescent Psychiatry Physician
MD.203155
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000124
—
LA
Enumeration date
05/25/2007
Last updated
11/06/2013
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