Mitchell Brent Liester in Monument - Psychiatry

Mitchell Brent Liester - NPI 1366430605

Mitchell Brent Liester is a Psychiatry in Monument, Colorado. Mitchell Brent Liester practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Mitchell Brent Liester is 1366430605. The last update date is 2013-01-08.

Mitchell Brent Liester's current location address is Po Box 302, Monument, Colorado. You can contact this provider via phone number 7194880024 and fax number 7194886672. The mailing address for Mitchell Brent Liester is Po Box 302, Monument, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Mitchell Brent Liester
Address Po Box 302, Monument, Colorado
Phone Number 7194880024
Fax Number 7194886672
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1366430605
Provider Enumeration Date 2005-10-11
Last Updated Date 2013-01-08

Provider Mailing Address Detail

Address Po Box 302
City Monument
State Colorado (CO)
Post Code 801320302
Phone Number 7194880024
Fax Number 7194886672

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 29395
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
1293950 CO --

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FAQs about Mitchell Brent Liester

What is the unique identification code assigned to Mitchell Brent Liester by the Centers for Medicare & Medicaid Services?

The Mitchell Brent Liester has been issued the NPI (National Provider Identifier) 1366430605. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Mitchell Brent Liester is geographically located?

The Mitchell Brent Liester is physically situated at the following location: Po Box 302, Monument, CO, 801320302.

What is Mitchell Brent Liester's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mitchell Brent Liester's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.

On what date did the Mitchell Brent Liester receive the assignment of its 1366430605 from the Centers for Medicare & Medicaid Services?

The Mitchell Brent Liester was issued its 1366430605 by the Centers for Medicare & Medicaid Services on 2005-10-11.

When was the information pertaining to Mitchell Brent Liester most recently updated or revised?

The details related to Mitchell Brent Liester, including its address, specialty, and other relevant information, were last updated or revised on 2013-01-08.

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