Provider Demographics
NPI:1427891910
Name:LOUISA, JOANNE
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:LOUISA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14739 CATALINA ST
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94577-6609
Mailing Address - Country:US
Mailing Address - Phone:925-596-9440
Mailing Address - Fax:
Practice Address - Street 1:14739 CATALINA ST
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-6609
Practice Address - Country:US
Practice Address - Phone:925-596-9440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker