Healthcare Provider Details

I. General information

NPI: 1427208230
Provider Name (Legal Business Name): HOWARD CARY WETSMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2008
Last Update Date: 09/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 PRYTANIA ST SUITE 72
NEW ORLEANS LA
70115-3628
US

IV. Provider business mailing address

2600 JOHNSTON ST SUITE 110
LAFAYETTE LA
70503-3269
US

V. Phone/Fax

Practice location:
  • Phone: 504-894-8322
  • Fax: 504-894-8744
Mailing address:
  • Phone: 337-266-5155
  • Fax: 337-266-5157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number018331
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number018331
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: