Fayne Maxine Leventhal in Fort Bragg - Psychiatry
Fayne Maxine Leventhal - NPI 1619091139
Fayne Maxine Leventhal is a Psychiatry in Fort Bragg, California. Fayne Maxine Leventhal practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Fayne Maxine Leventhal is 1619091139. The last update date is 2007-07-08.
Fayne Maxine Leventhal's current location address is 205 South St, Fort Bragg, California. You can contact this provider via phone number 7079641251 and fax number 7079612722. The mailing address for Fayne Maxine Leventhal is 205 South St, Fort Bragg, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Fayne Maxine Leventhal |
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Address | 205 South St, Fort Bragg, California |
Phone Number | 7079641251 |
Fax Number | 7079612722 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1619091139 |
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Provider Enumeration Date | 2007-03-19 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 205 South St |
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City | Fort Bragg |
State | California (CA) |
Post Code | 954375540 |
Phone Number | 7079641251 |
Fax Number | 7079612722 |
Provider's Primary Taxonomy Detail
Speciality | Psychiatry |
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Taxonomy | 2084P0800X |
Licence No | G50431 |
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 |
---|---|---|---|
FHC03967F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Fayne Maxine Leventhal by the Centers for Medicare & Medicaid Services?
The Fayne Maxine Leventhal has been assigned the NPI (National Provider Identifier) 1619091139 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Fayne Maxine Leventhal's physical address?
The Fayne Maxine Leventhal is physically located at 205 South St, in the city of Fort Bragg, CA, with the postal code 954375540.
What is the area of specialization for Fayne Maxine Leventhal, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Fayne Maxine Leventhal is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.
When did the Fayne Maxine Leventhal receive its 1619091139?
The Fayne Maxine Leventhal was issued its 1619091139 on 2007-03-19, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Fayne Maxine Leventhal, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Fayne Maxine Leventhal, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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