Individual
MRS. JESSICA SKOLD CLARK CHANDAMURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5640 READ BLVD STE 810, NEW ORLEANS EAST BEHAVIORAL HEALTH CLINIC, NEW ORLEANS, LA 70127-3125
(504) 243-7600
(504) 243-7610
Mailing address
5640 READ BLVD STE 810, NEW ORLEANS EAST BEHAVIORAL HEALTH CLINIC, NEW ORLEANS, LA 70127-3125
(504) 243-7600
(504) 243-7610
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD205301
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1883255
—
LA
Enumeration date
04/10/2009
Last updated
08/21/2013
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