Provider Demographics
NPI:1730202391
Name:HENSCHKE, JACQUELINE LINDA (MD)
Entity type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:LINDA
Last Name:HENSCHKE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 MANSON AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-4828
Mailing Address - Country:US
Mailing Address - Phone:301-404-1671
Mailing Address - Fax:
Practice Address - Street 1:1440 CANAL STRTEET- TB 52
Practice Address - Street 2:TULANE: DEPARTMENT OF CHILD PSYCHIATRY
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112
Practice Address - Country:US
Practice Address - Phone:504-988-9180
Practice Address - Fax:504-988-4264
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25IA122631002084P0800X
CAA995472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry