Provider Demographics
NPI:1124454111
Name:WISCHKAEMPER, ABIGAIL MELANIE (PHD)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:MELANIE
Last Name:WISCHKAEMPER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:MELANIE
Other - Last Name:LAMBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1514 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2429
Mailing Address - Country:US
Mailing Address - Phone:504-842-4000
Mailing Address - Fax:
Practice Address - Street 1:1514 JEFFERSON HWY
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70121-2429
Practice Address - Country:US
Practice Address - Phone:504-842-3900
Practice Address - Fax:504-842-5848
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-23
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL-128103K00000X
LA1346103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst