Organization
LOUISIANA STATE PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JEIDER M.D. (CHIEF EXECUTIVE OFFICER)
(225) 366-7126
Entity
Organization
Contact information
Practice address
6810 JEFFERSON HWY, APT 1309, BATON ROUGE, LA 70806-8175
(225) 366-7126
Mailing address
6810 JEFFERSON HWY, APT 1309, BATON ROUGE, LA 70806-8175
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/04/2014
Last updated
10/04/2014
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