Provider Demographics
NPI:1083481170
Name:HUSSER, BRIENNE CATHERINE
Entity Type:Individual
Prefix:
First Name:BRIENNE
Middle Name:CATHERINE
Last Name:HUSSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42124 VETERANS AVE
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-1427
Mailing Address - Country:US
Mailing Address - Phone:985-500-3240
Mailing Address - Fax:
Practice Address - Street 1:42124 VETERANS AVE
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-1427
Practice Address - Country:US
Practice Address - Phone:985-500-3240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician