Provider Demographics
NPI:1225618887
Name:DOLLIOLE, MELISSA (PSS)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:DOLLIOLE
Suffix:
Gender:F
Credentials:PSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 W JUDGE PEREZ DR STE C
Mailing Address - Street 2:
Mailing Address - City:CHALMETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70043-4773
Mailing Address - Country:US
Mailing Address - Phone:504-324-5298
Mailing Address - Fax:
Practice Address - Street 1:1645 N VILLERE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70116-1446
Practice Address - Country:US
Practice Address - Phone:504-510-1078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator