Provider Demographics
NPI:1215614235
Name:FONDREN, ALANA HARRISON (PHD)
Entity type:Individual
Prefix:DR
First Name:ALANA
Middle Name:HARRISON
Last Name:FONDREN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ALANA
Other - Middle Name:LANGE
Other - Last Name:HARRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3430 CALHOUN ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-4207
Mailing Address - Country:US
Mailing Address - Phone:512-818-7162
Mailing Address - Fax:
Practice Address - Street 1:3430 CALHOUN ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-4207
Practice Address - Country:US
Practice Address - Phone:512-818-7162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39879103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical