Provider Demographics
NPI:1558079657
Name:PRIVAT, CLAIRE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:
Last Name:PRIVAT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:JASPER
Other - Middle Name:JACQUES
Other - Last Name:PRIVAT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:2527 AUBRY ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-2347
Mailing Address - Country:US
Mailing Address - Phone:337-349-0640
Mailing Address - Fax:
Practice Address - Street 1:2527 AUBRY ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-2347
Practice Address - Country:US
Practice Address - Phone:337-349-0640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1655103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical