Individual
ANNELIESE CATHERINE BOETTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1514 JEFFERSON HWY FL 6, NEW ORLEANS, LA 70121-2429
(504) 842-8430
Mailing address
1514 JEFFERSON HWY FL 6, NEW ORLEANS, LA 70121-2429
(504) 842-8430
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1467
LA
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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