Basic Information
Provider Information
NPI: 1417987371
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GALARNEAU
FirstName: DAVID
MiddleName: W
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1514 JEFFERSON HWY
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701212429
CountryCode: US
TelephoneNumber: 5048424000
FaxNumber:  
Practice Location
Address1: 1514 JEFFERSON HWY
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701212429
CountryCode: US
TelephoneNumber: 5048424000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/04/2006
LastUpdateDate: 11/12/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XMD.200826LAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


Home