Provider Demographics
NPI:1609106269
Name:ANDERSON-MARTIN, DELILAH A
Entity Type:Individual
Prefix:MRS
First Name:DELILAH
Middle Name:A
Last Name:ANDERSON-MARTIN
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 1:3557 KAREN DR
Mailing Address - Street 2:
Mailing Address - City:ADDIS
Mailing Address - State:LA
Mailing Address - Zip Code:70710-2211
Mailing Address - Country:US
Mailing Address - Phone:225-776-5620
Mailing Address - Fax:
Practice Address - Street 1:3557 KAREN DR
Practice Address - Street 2:
Practice Address - City:ADDIS
Practice Address - State:LA
Practice Address - Zip Code:70710-2211
Practice Address - Country:US
Practice Address - Phone:225-776-5620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-05
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor