Provider Demographics
NPI:1821004078
Name:SOMJEN, GEORGETTE (MD, LPC)
Entity Type:Individual
Prefix:DR
First Name:GEORGETTE
Middle Name:
Last Name:SOMJEN
Suffix:
Gender:F
Credentials:MD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4836 WABASH ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-6717
Mailing Address - Country:US
Mailing Address - Phone:504-780-2766
Mailing Address - Fax:504-780-9699
Practice Address - Street 1:4836 WABASH ST
Practice Address - Street 2:SUITE 202
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-6717
Practice Address - Country:US
Practice Address - Phone:504-780-2766
Practice Address - Fax:504-780-9699
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30960207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine