Patrick Willie Roberson in Destrehan - Psychiatric
Patrick Willie Roberson - NPI 1164575049
Patrick Willie Roberson is a Psychiatric in Destrehan, Louisiana. Patrick Willie Roberson practices all healthcare services and medical treatments related to Psychiatric. The NPI Number for Patrick Willie Roberson is 1164575049. The last update date is 2007-07-08.
Patrick Willie Roberson's current location address is 400 Evergreen Dr, Destrehan, Louisiana. You can contact this provider via phone number 9857649595 and fax number 5048962675. The mailing address for Patrick Willie Roberson is 400 Evergreen Dr, Destrehan, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrick Willie Roberson |
|---|---|
| Address | 400 Evergreen Dr, Destrehan, Louisiana |
| Phone Number | 9857649595 |
| Fax Number | 5048962675 |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1164575049 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 400 Evergreen Dr |
|---|---|
| City | Destrehan |
| State | Louisiana (LA) |
| Post Code | 700475038 |
| Phone Number | 9857649595 |
| Fax Number | 5048962675 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric |
|---|---|
| Taxonomy | 1835P1300X |
| Licence No | 13131 |
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Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
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What is the unique 10-digit identification code issued to Patrick Willie Roberson by the Centers for Medicare & Medicaid Services?
The Patrick Willie Roberson has been assigned the NPI (National Provider Identifier) 1164575049 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Patrick Willie Roberson's facilities are geographically located?
The facilities of Patrick Willie Roberson are physically situated at the following location: 400 Evergreen Dr, Destrehan, LA, 700475038.
What is Patrick Willie Roberson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Patrick Willie Roberson's specialized field of practice is Psychiatric, and the corresponding taxonomy code that categorizes this area of specialization is 1835P1300X.
On what date did the Patrick Willie Roberson receive its 1164575049 assignment from the Centers for Medicare & Medicaid Services?
The Patrick Willie Roberson was assigned its 1164575049 by the Centers for Medicare & Medicaid Services on 2007-01-22.
As of what date were the details related to Patrick Willie Roberson most recently updated or revised?
The information pertaining to Patrick Willie Roberson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.