Doctor Name: | BRIAN D MONETTE |
NPI Number: | 1699781591 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | R019642 / L023786 |
Business Practice Address: | 1112 E Ascension Complex Ave. Gonzales, LA - 70737 |
Business Phone Number: | 2259215770 |
Business Fax Number: | 2256445168 |
Mailing Address: | P.o. Box 1725, GONZALES |
State: | LA |
Postal Code: | 701071725 |
Phone Number: | 2256215770 |
Fax Number: | 2256445168 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 01/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | R019642 / L023786 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |