Provider Demographics
NPI:1952405540
Name:CORRIGAN, SHEILA (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:
Last Name:CORRIGAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 GATEWAY DRIVE
Mailing Address - Street 2:VA MEDICAL CLINIC
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70450
Mailing Address - Country:US
Mailing Address - Phone:985-690-7150
Mailing Address - Fax:
Practice Address - Street 1:300 GATEWAY DR
Practice Address - Street 2:VA MEDICAL CLINIC
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-5540
Practice Address - Country:US
Practice Address - Phone:985-690-7150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA660103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical