Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 855 | LA |
N | 103T00000X | Psychologist | 855 | LA |
N | 103TC1900X | Counseling Psychologist | 855 | LA |
NPI | 1043367428 |
---|---|
Provider Name | Dr. Leigh Anne B Terrebonne |
First Address | New Orleans, LA 70125-3409 |
Second Address | New Orleans, LA 70115-3708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2007 |
Last Update Date | 08/07/2007 |