Provider Demographics
NPI:1043538077
Name:DELAPOUYADE, PERRY JOSEPH SR (L A C 272)
Entity Type:Individual
Prefix:MR
First Name:PERRY
Middle Name:JOSEPH
Last Name:DELAPOUYADE
Suffix:SR
Gender:M
Credentials:L A C 272
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1417 MOSS ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-2906
Mailing Address - Country:US
Mailing Address - Phone:504-884-3575
Mailing Address - Fax:888-372-2782
Practice Address - Street 1:2533 LASALLE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70113-2531
Practice Address - Country:US
Practice Address - Phone:504-884-3575
Practice Address - Fax:888-372-2782
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA272101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)