Provider Demographics
NPI:1487707972
Name:SCHWARZ, TERI JAN (MD)
Entity type:Individual
Prefix:
First Name:TERI
Middle Name:JAN
Last Name:SCHWARZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 N. CAUSEWAY BLVD
Mailing Address - Street 2:STE 1480
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002
Mailing Address - Country:US
Mailing Address - Phone:504-493-7095
Mailing Address - Fax:504-493-7096
Practice Address - Street 1:3500 N. CAUSEWAY BLVD
Practice Address - Street 2:STE 1480
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002
Practice Address - Country:US
Practice Address - Phone:504-493-7095
Practice Address - Fax:504-493-7096
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0206752084P0800X
LALA206752084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1989860Medicaid