Provider Demographics
NPI:1891007647
Name:ABBRECHT, LISA CARRIE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:CARRIE
Last Name:ABBRECHT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1929 MARENGO ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-5415
Mailing Address - Country:US
Mailing Address - Phone:303-842-2759
Mailing Address - Fax:
Practice Address - Street 1:4932 PRYTANIA ST UNIT B
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-4018
Practice Address - Country:US
Practice Address - Phone:504-321-1283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-09
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1211103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical