Charles Theodore Reveley in Birmingham - Psychiatry

Charles Theodore Reveley - NPI 1245265982

Charles Theodore Reveley is a Psychiatry in Birmingham, Alabama. Charles Theodore Reveley practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Charles Theodore Reveley is 1245265982. The last update date is 2012-04-07.

Charles Theodore Reveley's current location address is 400 Office Park Dr, Birmingham, Alabama. You can contact this provider via phone number 2058708415. The mailing address for Charles Theodore Reveley is 400 Office Park Dr, Birmingham, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Theodore Reveley
Address 400 Office Park Dr, Birmingham, Alabama
Phone Number 2058708415
Fax Number
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1245265982
Provider Enumeration Date 2006-07-11
Last Updated Date 2012-04-07

Provider Mailing Address Detail

Address 400 Office Park Dr
City Birmingham
State Alabama (AL)
Post Code 352233408
Phone Number 2058708415
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No MD.28076
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
51531152 AL BC FEDERAL EHBP
515-92203 AL BLUECROSS BLUESHIELD
51531151 AL BLUE CROSS

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FAQs about Charles Theodore Reveley

What is the Charles Theodore Reveley's 1245265982?

The Charles Theodore Reveley's NPI (National Provider Identifier) Number is 1245265982. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Charles Theodore Reveley located?

The Charles Theodore Reveley is located at 400 Office Park Dr, Birmingham, AL 352233408.

What is Charles Theodore Reveley's area of expertise and its corresponding taxonomy classification?

The Charles Theodore Reveley's field of specialization is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their areas of practice.

When did Charles Theodore Reveley receive its 1245265982 assignment?

The Charles Theodore Reveley was assigned its 1245265982 on 2006-07-11, which is the date when this unique identifier was issued to the organization.

As of what date were the Charles Theodore Reveley's details last updated?

The information pertaining to the Charles Theodore Reveley, including its address, specialty, and other details, was most recently updated on 2012-04-07.

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