Larry Kenneth Hetrick in San Francisco - Psychiatry

Larry Kenneth Hetrick - NPI 1962535419

Larry Kenneth Hetrick is a Psychiatry in San Francisco, California. Larry Kenneth Hetrick practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Larry Kenneth Hetrick is 1962535419. The last update date is 2022-05-17.

Larry Kenneth Hetrick's current location address is P.o. Box 14880, San Francisco, California. You can contact this provider via phone number 4155670321 and fax number 4158955548. The mailing address for Larry Kenneth Hetrick is P.o. Box 14880, San Francisco, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Larry Kenneth Hetrick
Address P.o. Box 14880, San Francisco, California
Phone Number 4155670321
Fax Number 4158955548
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1962535419
Provider Enumeration Date 2007-03-13
Last Updated Date 2022-05-17

Provider Mailing Address Detail

Address P.o. Box 14880
City San Francisco
State California (CA)
Post Code 941140880
Phone Number 4155670321
Fax Number 4158955548

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No G078733
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

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FAQs about Larry Kenneth Hetrick

What is the unique 10-digit identification code issued to Larry Kenneth Hetrick by the Centers for Medicare & Medicaid Services?

The Larry Kenneth Hetrick has been assigned the NPI (National Provider Identifier) 1962535419 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 Larry Kenneth Hetrick's facilities are geographically located?

The facilities of Larry Kenneth Hetrick are physically situated at the following location: P.O. Box 14880, San Francisco, CA, 941140880.

What is Larry Kenneth Hetrick's specialized field of practice, and what is the corresponding taxonomy classification code?

The Larry Kenneth Hetrick's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.

On what date did the Centers for Medicare & Medicaid Services assign the 1962535419 to Larry Kenneth Hetrick?

The Centers for Medicare & Medicaid Services assigned the 1962535419 to Larry Kenneth Hetrick on 2007-03-13.

As of what date were the details related to Larry Kenneth Hetrick most recently updated or revised?

The information pertaining to Larry Kenneth Hetrick, including its address, specialty, and other relevant details, was last updated or revised on 2022-05-17.

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