Organization
JEFFERSON PSYCHIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDNEY K SMITH III MD (OWNER)
(504) 889-1448
Entity
Organization
Contact information
Practice address
3901 HOUMA BLVD STE 401, METAIRIE, LA 70006-2930
(504) 889-1448
(504) 889-1452
Mailing address
3901 HOUMA BLVD STE 401, METAIRIE, LA 70006-2930
(504) 889-1448
(504) 889-1452
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1949230
—
LA
Enumeration date
05/24/2007
Last updated
10/07/2021
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