Organization
PROFESSIONAL PSYCHOTHERAPY NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRICIA B MOGG (MEDICAL BILLER)
(504) 729-4414
Entity
Organization
Contact information
Practice address
1529 RIVER OAKS RD W, NEW ORLEANS, LA 70123-2162
(504) 729-4414
(504) 729-4415
Mailing address
1529 RIVER OAKS RD W, NEW ORLEANS, LA 70123-2162
(504) 729-4414
(504) 729-4415
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
02763R
LA
Other
Enumeration date
05/14/2008
Last updated
10/14/2008
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