1518342310 NPI number — MR. MATTHEW ALEXANDER DECLOUET PMHNP

Table of content: MR. MATTHEW ALEXANDER DECLOUET PMHNP (NPI 1518342310)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518342310 NPI number — MR. MATTHEW ALEXANDER DECLOUET PMHNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DECLOUET
Provider First Name:
MATTHEW
Provider Middle Name:
ALEXANDER
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
PMHNP
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518342310
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/18/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
302 LA RUE FRANCE STE 202
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAFAYETTE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70508-3133
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
337-534-0971
Provider Business Mailing Address Fax Number:
337-534-0974

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
302 LA RUE FRANCE STE 202
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAFAYETTE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70508-3133
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-534-0971
Provider Business Practice Location Address Fax Number:
337-534-0974
Provider Enumeration Date:
07/22/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X , with the licence number:  AP08470 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2411608 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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