Healthcare Provider Details

I. General information

NPI: 1427517697
Provider Name (Legal Business Name): ELAINE MEYERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 STATE ST BLDG 10
NEW ORLEANS LA
70118-5735
US

IV. Provider business mailing address

1100 POYDRAS ST STE 2500
NEW ORLEANS LA
70163-2500
US

V. Phone/Fax

Practice location:
  • Phone: 504-896-7200
  • Fax: 504-896-7288
Mailing address:
  • Phone: 504-527-9953
  • Fax: 504-527-9950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number341715
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: