Chafetz, Michael D

Chafetz, Michael D is an sole proprietor health care provider with primary practice located at 3520 General Degaulle Dr Suite 3044, New Orleans LA 70114-6757. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Chafetz, Michael D can be contacted via phone (336) 659-8536.

Contact Information

Primary practice address
3520 General Degaulle Dr Suite 3044 New Orleans LA 70114-6757
Phone: (336) 659-8536
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 762 Louisiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 762 Louisiana

Profile Details

NPI number 1144283599
LBN Legal business name Chafetz, Michael D
Credentials PH.D., ABPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2006
Last updated Mar 14th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144283599 NPPES
Louisiana MEDICAID 1695513

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