Provider Demographics
NPI:1912530007
Name:CANALE, CHERYL LYNN
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:LYNN
Last Name:CANALE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 WESTBEND PKWY STE 4070
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-2469
Mailing Address - Country:US
Mailing Address - Phone:504-363-7449
Mailing Address - Fax:504-363-7077
Practice Address - Street 1:2401 WESTBEND PKWY
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-2458
Practice Address - Country:US
Practice Address - Phone:504-363-7449
Practice Address - Fax:504-363-7077
Is Sole Proprietor?:No
Enumeration Date:2020-02-17
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator