Healthcare Provider Details

I. General information

NPI: 1326520362
Provider Name (Legal Business Name): PSYCHIATRIC SPECIALISTS APMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2018
Last Update Date: 09/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4113 WILLIAMS BLVD
KENNER LA
70065
US

IV. Provider business mailing address

PO BOX 326
KENNER LA
70063
US

V. Phone/Fax

Practice location:
  • Phone: 786-457-7210
  • Fax: 504-754-7713
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD YASIN
Title or Position: OWNER
Credential: MD
Phone: 786-457-7210