Southeast Louisiana State Hospital
NPI #1518129907 in Mandeville, Louisiana
Provider Information
- NPI Number
- 1518129907
- Entity Type
- Organization
- Organization Name
- Southeast Louisiana State Hospital
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Jun 27, 2008
- Last Updated
- Jun 27, 2008
Practice Location
- Address
- 23515 HWY 190
- Address 2
- SOUTHEAST LOUISIANA STATE HOSPITAL
- City
- Mandeville
- State
- Louisiana
- ZIP Code
- 70448
- Phone
- (985) 626-6300
Authorized Official
- Name
- PATRICIA B GONZALES, MSW LCSW
- Title
- CEO
- Phone
- (915) 626-6300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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