Jay Lawrence Liss in Saint Louis - Psychiatry
Jay Lawrence Liss - NPI 1679584494
Jay Lawrence Liss is a Psychiatry in Saint Louis, Missouri. Jay Lawrence Liss practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Jay Lawrence Liss is 1679584494. The last update date is 2008-04-25.
Jay Lawrence Liss's current location address is 8711 Watson Rd, Saint Louis, Missouri. You can contact this provider via phone number 3149619871 and fax number 3149619877. The mailing address for Jay Lawrence Liss is 8711 Watson Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Lawrence Liss |
|---|---|
| Address | 8711 Watson Rd, Saint Louis, Missouri |
| Phone Number | 3149619871 |
| Fax Number | 3149619877 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679584494 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2008-04-25 |
Provider Mailing Address Detail
| Address | 8711 Watson Rd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631195100 |
| Phone Number | 3149619871 |
| Fax Number | 3149619877 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 30759 |
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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 |
|---|---|---|---|
| 200765907 | MO | -- | |
| 916745640 | MO | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jay Lawrence Liss by the Centers for Medicare & Medicaid Services?
The Jay Lawrence Liss has been issued the NPI (National Provider Identifier) 1679584494 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jay Lawrence Liss?
The Jay Lawrence Liss is situated at 8711 Watson Rd, in the city of Saint Louis, state of MO, with the zip code 631195100.
What is Jay Lawrence Liss's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jay Lawrence Liss is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.
On what date did the Jay Lawrence Liss receive its 1679584494 assignment from the Centers for Medicare & Medicaid Services?
The Jay Lawrence Liss was assigned its 1679584494 by the Centers for Medicare & Medicaid Services on 2006-08-10.
When was the information regarding Jay Lawrence Liss most recently updated?
The details pertaining to the Jay Lawrence Liss, including its address, specialty, and other relevant information, were last refreshed on 2008-04-25.