Individual
DR. SUSAN K GLADE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 CODIFER BOULEVARD, METAIRIE, LA 70005-3777
(504) 836-2444
(504) 836-2489
Mailing address
301 CODIFER BOULEVARD, METAIRIE, LA 70005-3777
(504) 836-2444
(504) 836-2489
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
016197
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1360031
—
LA
Enumeration date
03/14/2006
Last updated
07/08/2007
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