Provider Demographics
NPI:1144088642
Name:FERRAND, ROY LEO JR
Entity type:Individual
Prefix:
First Name:ROY
Middle Name:LEO
Last Name:FERRAND
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 GRAND ISLE CT
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-2200
Mailing Address - Country:US
Mailing Address - Phone:504-355-7924
Mailing Address - Fax:
Practice Address - Street 1:204 GRAND ISLE CT
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-2200
Practice Address - Country:US
Practice Address - Phone:504-355-7924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health