Provider Demographics
NPI:1437392404
Name:DOUCETTE, ASHLEY PATRICE (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:PATRICE
Last Name:DOUCETTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5771 WRIGHT RD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LOUISIANA
Mailing Address - Zip Code:70128
Mailing Address - Country:UM
Mailing Address - Phone:504-813-6037
Mailing Address - Fax:504-302-9811
Practice Address - Street 1:8762 HIGHWAY 182
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-5603
Practice Address - Country:US
Practice Address - Phone:504-813-6037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.2042652084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1919179Medicaid