Provider Demographics
NPI:1033136684
Name:PILSON, BARRY H (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:H
Last Name:PILSON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 ATHANIA PKWY
Mailing Address - Street 2:FL 3
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-1975
Mailing Address - Country:US
Mailing Address - Phone:504-834-2455
Mailing Address - Fax:504-837-3411
Practice Address - Street 1:2420 ATHANIA PKWY
Practice Address - Street 2:FL 3
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1975
Practice Address - Country:US
Practice Address - Phone:504-834-2455
Practice Address - Fax:504-837-3411
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5S045Medicare ID - Type Unspecified