Provider Demographics
NPI:1366817546
Name:DUMAS, JUVANIA (PSY D)
Entity type:Individual
Prefix:DR
First Name:JUVANIA
Middle Name:
Last Name:DUMAS
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19442 FIG ST
Mailing Address - Street 2:
Mailing Address - City:VACHERIE
Mailing Address - State:LA
Mailing Address - Zip Code:70090-3314
Mailing Address - Country:US
Mailing Address - Phone:504-708-9225
Mailing Address - Fax:
Practice Address - Street 1:19442 FIG ST
Practice Address - Street 2:
Practice Address - City:VACHERIE
Practice Address - State:LA
Practice Address - Zip Code:70090-3314
Practice Address - Country:US
Practice Address - Phone:504-708-9225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-14
Last Update Date:2025-03-20
Deactivation Date:2018-11-21
Deactivation Code:
Reactivation Date:2019-03-20
Provider Licenses
StateLicense IDTaxonomies
LA5318101YP2500X
CA9218101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA14219730OtherCAQH PROVIDER ID