Provider Demographics
NPI:1457380503
Name:HASPEL, JUDITH O (LCSW)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:O
Last Name:HASPEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 AMELIA ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3625
Mailing Address - Country:US
Mailing Address - Phone:504-891-5807
Mailing Address - Fax:504-891-9428
Practice Address - Street 1:1325 AMELIA ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3625
Practice Address - Country:US
Practice Address - Phone:504-891-5807
Practice Address - Fax:504-891-9428
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA18361041C0700X
LALCSW106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist