Provider Demographics
NPI:1245475516
Name:SHERVINGTON, DENESE OLIVINE (MD)
Entity type:Individual
Prefix:DR
First Name:DENESE
Middle Name:OLIVINE
Last Name:SHERVINGTON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:650 POYDRAS ST
Mailing Address - Street 2:SUITE 2317 / IWES
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-6101
Mailing Address - Country:US
Mailing Address - Phone:504-301-3690
Mailing Address - Fax:504-304-7781
Practice Address - Street 1:650 POYDRAS ST
Practice Address - Street 2:SUITE 2317 / IWES
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-6101
Practice Address - Country:US
Practice Address - Phone:504-301-3690
Practice Address - Fax:504-304-7781
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-15
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA08351R2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry