Provider Demographics
NPI:1194815266
Name:DENNEY, JAMES B (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:B
Last Name:DENNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 BROWNSWITCH RD
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-1233
Mailing Address - Country:US
Mailing Address - Phone:985-641-5330
Mailing Address - Fax:985-641-6589
Practice Address - Street 1:609 BROWNSWITCH RD
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-1233
Practice Address - Country:US
Practice Address - Phone:985-641-5330
Practice Address - Fax:985-641-6589
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA129062084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1155179Medicaid
LA5L9187636Medicare PIN
LAB61547Medicare UPIN
LA1155179Medicaid