Individual
DR. JOSEPH WILLIAM BOFFA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2400 CANAL ST, NEW ORLEANS, LA 70119-6535
(504) 507-2000
Mailing address
518 BURDETTE ST UPPR, NEW ORLEANS, LA 70118-3822
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1569
LA
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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