Teresa Diane Long in Kansas City - Psychiatry
Teresa Diane Long - NPI 1043305592
Teresa Diane Long is a Psychiatry in Kansas City, Kansas. Teresa Diane Long practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Teresa Diane Long is 1043305592. The last update date is 2007-07-09.
Teresa Diane Long's current location address is 3901 Rainbow Blvd, Kansas City, Kansas. You can contact this provider via phone number 9135886464 and fax number 9135886414. The mailing address for Teresa Diane Long is 3901 Rainbow Blvd, Kansas City, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teresa Diane Long |
|---|---|
| Address | 3901 Rainbow Blvd, Kansas City, Kansas |
| Phone Number | 9135886464 |
| Fax Number | 9135886414 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1043305592 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3901 Rainbow Blvd |
|---|---|
| City | Kansas City |
| State | Kansas (KS) |
| Post Code | 66160 |
| Phone Number | 9135886464 |
| Fax Number | 9135886414 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 04-25118 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20924044 | MO | BCBS KC | |
| 626411 | KS | FIRSTGUARD |
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What is the unique 10-digit identification code assigned to Teresa Diane Long by the Centers for Medicare & Medicaid Services?
The Teresa Diane Long has been issued the NPI (National Provider Identifier) 1043305592, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Teresa Diane Long located?
The Teresa Diane Long is located at 3901 Rainbow Blvd, Kansas City, KS 66160.
What is Teresa Diane Long's area of expertise and its corresponding taxonomy classification?
The Teresa Diane Long's field of specialization is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1043305592 to Teresa Diane Long?
The Centers for Medicare & Medicaid Services originally issued the 1043305592 to Teresa Diane Long on 2006-10-03.
As of what date were the Teresa Diane Long's details last updated?
The information pertaining to the Teresa Diane Long, including its address, specialty, and other details, was most recently updated on 2007-07-09.