Provider Demographics
NPI:1407315674
Name:CHASON, REBECCA DALGLEISH
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:DALGLEISH
Last Name:CHASON
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 1:344 SAINT JOSEPH ST APT 403
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-3651
Mailing Address - Country:US
Mailing Address - Phone:214-415-0983
Mailing Address - Fax:
Practice Address - Street 1:344 SAINT JOSEPH ST APT 403
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-3651
Practice Address - Country:US
Practice Address - Phone:214-415-0983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program