Provider Demographics
NPI:1407037740
Name:AUBERT, MELISSA JEANDRON (PHD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:JEANDRON
Last Name:AUBERT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 N ARNOULT RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-5949
Mailing Address - Country:US
Mailing Address - Phone:504-455-0109
Mailing Address - Fax:504-834-8802
Practice Address - Street 1:2626 N ARNOULT RD
Practice Address - Street 2:SUITE 220
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5949
Practice Address - Country:US
Practice Address - Phone:504-455-0109
Practice Address - Fax:504-834-8802
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1057103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical