Provider Information for 1609465004
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Dr. STEPHANIE HOPE PROCELL PhD
Sex: Female
NPI: 1609465004
Last Updated: 2023-10-20
Certification Date: 2023-10-20
Certification Date: 2023-10-20
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1609465004 | ||||||||||||
| Enumeration Date | 2021-01-11 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 4932 TRENTON ST METAIRIE, LA 70006-6420 United States Phone: 813-363-0515 | Fax: | ||||||||||||
| Primary Practice Address | 4932 TRENTON ST METAIRIE, LA 70006-6420 United States Phone: 813-363-0515 | Fax: | ||||||||||||
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