Provider Demographics
NPI:1851907620
Name:DEAN, DONNA TERESA
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:TERESA
Last Name:DEAN
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 1:1901 WESTBANK EXPY STE 200
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-4362
Mailing Address - Country:US
Mailing Address - Phone:504-784-0988
Mailing Address - Fax:
Practice Address - Street 1:1901 WESTBANK EXPY STE 200
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-4362
Practice Address - Country:US
Practice Address - Phone:504-832-5123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-17
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist