Individual
DR. TARA THERESA DEENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2370 GAUSE BLVD E, SLIDELL, LA 70461-4141
(985) 639-3755
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.025701
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00703214
—
MS
05
—
1043974
—
LA
Enumeration date
07/21/2006
Last updated
11/20/2007
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