Organization
NEUROJUST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN BANQUER (CHIEF OPERATING OFFICER)
(504) 481-3971
Entity
Organization
Contact information
Practice address
701 METAIRIE RD # 1B-203, METAIRIE, LA 70005-4050
(504) 481-3971
Mailing address
701 METAIRIE RD STE 1B-203, METAIRIE, LA 70005-4050
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
12/22/2020
Last updated
03/10/2025
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