Provider Demographics
NPI:1093263808
Name:DINEHART, FRAN
Entity Type:Individual
Prefix:
First Name:FRAN
Middle Name:
Last Name:DINEHART
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 1:3300 W ESPLANADE AVE S
Mailing Address - Street 2:603
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-7406
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3300 W ESPLANADE AVE S
Practice Address - Street 2:603
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-7406
Practice Address - Country:US
Practice Address - Phone:504-831-8475
Practice Address - Fax:504-831-1130
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA116681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical