Provider Information for 1265157150
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Dr. AMY ELIZABETH CLOMBURG PsyD
Sex: Female
NPI: 1265157150
Last Updated: 2024-11-01
Certification Date: 2024-10-31
Certification Date: 2024-10-31
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1265157150 | ||||||||
| Enumeration Date | 2022-10-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2021 PERDIDO ST. 6TH FLOOR, OFFICE 6137 NEW ORLEANS, LA 70112 United States Phone: 513-673-8312 | Fax: | ||||||||
| Primary Practice Address | 478 S JOHNSON ST NEW ORLEANS, LA 70112-2238 United States Phone: 504-412-1580 | Fax: | ||||||||
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