Provider Demographics
NPI:1285126755
Name:LONDON, FRANKIE GUIDRY (MA)
Entity type:Individual
Prefix:
First Name:FRANKIE
Middle Name:GUIDRY
Last Name:LONDON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 N ROMAN ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70116-1129
Mailing Address - Country:US
Mailing Address - Phone:504-275-6974
Mailing Address - Fax:
Practice Address - Street 1:1615 POYDRAS ST STE 900
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-1282
Practice Address - Country:US
Practice Address - Phone:504-648-6730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health