Individual
COLLEEN SHANNON HAGEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1426 AMELIA ST, NEW ORLEANS, LA 70115
(504) 952-6322
(504) 897-4876
Mailing address
1426 AMELIA ST, NEW ORLEANS, LA 70115-3622
(504) 952-6322
(504) 897-4876
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD.207083
LA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD.207083
LA
Other
Enumeration date
03/19/2010
Last updated
01/31/2019
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