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Provider Information for 1295902765


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Dr. JUAN BARTHELEMY Ph.D., LCSW


Sex: Male

NPI: 1295902765
Last Updated: 2008-05-13
Certification Date:

Details

NameValue
NPI1295902765
Enumeration Date2008-05-13
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 754 E VERSAILLES DR
BATON ROUGE, LA 70819-3343
United States

Phone: 225-226-1594 | Fax:225-273-7539
 
Primary Practice Address 754 E VERSAILLES DR
BATON ROUGE, LA 70819-3343
United States

Phone: 225-226-1594 | Fax:225-273-7539
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalLA8709