Lee M Periolat in Valparaiso - Psychiatry

Lee M Periolat - NPI 1417974072

Lee M Periolat is a Psychiatry in Valparaiso, Indiana. Lee M Periolat practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Lee M Periolat is 1417974072. The last update date is 2020-11-25.

Lee M Periolat's current location address is 601 Wall St, Valparaiso, Indiana. You can contact this provider via phone number 2195313662. The mailing address for Lee M Periolat is 601 Wall St, Valparaiso, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Lee M Periolat
Address 601 Wall St, Valparaiso, Indiana
Phone Number 2195313662
Fax Number
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1417974072
Provider Enumeration Date 2006-07-17
Last Updated Date 2020-11-25

Provider Mailing Address Detail

Address 601 Wall St
City Valparaiso
State Indiana (IN)
Post Code 463832512
Phone Number 2195313662
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 1026484
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 Lee M Periolat

What is the unique identifier code issued to Lee M Periolat by the Centers for Medicare & Medicaid Services (CMS)?

The Lee M Periolat has been assigned the NPI (National Provider Identifier) 1417974072. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Lee M Periolat located?

The Lee M Periolat is located at 601 Wall St, Valparaiso, IN 463832512.

What is the area of specialization for Lee M Periolat, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lee M Periolat is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.

On what date did the Centers for Medicare & Medicaid Services assign the 1417974072 to Lee M Periolat?

The Centers for Medicare & Medicaid Services assigned the 1417974072 to Lee M Periolat on 2006-07-17.

As of what date were the details related to Lee M Periolat most recently updated or revised?

The information pertaining to Lee M Periolat, including its address, specialty, and other relevant details, was last updated or revised on 2020-11-25.

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