Provider Demographics
NPI:1568565984
Name:CARTOZZO, HENRY ANTHONY (PHD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:ANTHONY
Last Name:CARTOZZO
Suffix:
Gender:M
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:P.O. BOX 2021
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70004-2021
Mailing Address - Country:US
Mailing Address - Phone:504-454-0144
Mailing Address - Fax:
Practice Address - Street 1:4200 SOUTH I-10 SERVICE RD.
Practice Address - Street 2:SUITE #225
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001
Practice Address - Country:US
Practice Address - Phone:504-454-0144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA798103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5X565Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER