Individual
MICHAEL RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(504) 842-4025
Mailing address
1616 N LOPEZ ST, NEW ORLEANS, LA 70119-3031
(847) 347-1135
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1717
LA
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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