Basic Information
| Provider Information | |||||||||
| NPI: | 1386020246 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RAY WORTHY PSYCHIATRY, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1525 RIVER OAKS RD W | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701232162 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5057341740 | ||||||||
| FaxNumber: | 9857814319 | ||||||||
| Practice Location | |||||||||
| Address1: | 1525 RIVER OAKS RD W | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701232162 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5057341740 | ||||||||
| FaxNumber: | 9857814319 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/03/2015 | ||||||||
| LastUpdateDate: | 08/03/2015 | ||||||||
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| AuthorizedOfficialLastName: | WORTHY | ||||||||
| AuthorizedOfficialFirstName: | RAY | ||||||||
| AuthorizedOfficialMiddleName: | B | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9857810548 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 205358 | LA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.