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Juanita Blakely
Health Service Psychologist in New Orleans, Louisiana
NPI 1316543234

Juanita Blakely is a Health Service Psychologist based in New Orleans, LA and is specialized in Health Service. Juanita Blakely practices in New Orleans, LA. The NPI Number for Juanita Blakely is 1316543234 and holds a License No. (Louisiana).

The current practice location address for Juanita Blakely is 4633 Willow St, New Orleans, LA and can be reached out via phone at 504-272-1213.

Location: 4633 Willow St, New Orleans, LA, 70115-6940
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316543234
Provider Name
Juanita Blakely
Credential
Provider Entity Type
Individual
Gender
Female
Address
4633 Willow St, New Orleans, LA, 70115-6940
Phone Number
504-272-1213
Fax Number
Provider Enumeration Date
12/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4633 Willow St
City
New Orleans
State
Louisiana
Zip
70115-6940
Phone Number
504-272-1213
Fax Number
person
Provider Business Mailing Address Details
Address
4633 Willow St
City
New Orleans
State
Louisiana
Zip
70115-6940
Phone Number
504-272-1213
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
()
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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