Provider Demographics
NPI:1205455631
Name:MELCHER, ANDREW THOMAS
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:THOMAS
Last Name:MELCHER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 HOUMA BLVD STE 325
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-4184
Mailing Address - Country:US
Mailing Address - Phone:504-885-7337
Mailing Address - Fax:504-456-5172
Practice Address - Street 1:3800 HOUMA BLVD STE 325
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-4184
Practice Address - Country:US
Practice Address - Phone:504-952-8532
Practice Address - Fax:504-456-5172
Is Sole Proprietor?:No
Enumeration Date:2020-04-15
Last Update Date:2025-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3468952084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology