Provider Demographics
NPI:1952664955
Name:DOUCIERE, MARTHA JANE LOKER (PHD)
Entity Type:Individual
Prefix:
First Name:MARTHA JANE
Middle Name:LOKER
Last Name:DOUCIERE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:MARTHA JANE
Other - Middle Name:
Other - Last Name:LOKER DOUCIERE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:3100 RIDGELAKE DRIVE
Mailing Address - Street 2:STE. 207
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-4938
Mailing Address - Country:US
Mailing Address - Phone:504-836-6961
Mailing Address - Fax:504-836-6951
Practice Address - Street 1:3100 RIDGELAKE DRIVE
Practice Address - Street 2:STE. 207
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-4938
Practice Address - Country:US
Practice Address - Phone:504-836-6961
Practice Address - Fax:504-836-6951
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1701101Y00000X
LA485106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor