Individual
DR. RAY BONNER WORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
4933 WABASH ST., BIOBEHAVIORAL MEDICINE, METAIRIE, LA 70001
(504) 780-2766
(504) 780-9699
Mailing address
4933 WABASH ST, METAIRIE, LA 70001
(504) 780-2766
(504) 780-9699
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
LA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
MD.205358
LA
2084P0800X
Psychiatry Physician
LL31155
SC
2084P0800X
Psychiatry Physician
Primary
MD.205358
LA
Other
Enumeration date
07/23/2008
Last updated
10/12/2012
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