Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 806 | LA |
NPI | 1063473213 |
---|---|
Provider Name | Dr. Claire Dianne Peebles |
First Address | Metairie, LA 70006-2323 |
Second Address | Metairie, LA 70006-2323 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2006 |
Last Update Date | 04/06/2008 |