Hyunsoon Edie Park in Fayetteville - Psychiatry
Hyunsoon Edie Park - NPI 1467418764
Hyunsoon Edie Park is a Psychiatry in Fayetteville, Arkansas. Hyunsoon Edie Park practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Hyunsoon Edie Park is 1467418764. The last update date is 2009-09-23.
Hyunsoon Edie Park's current location address is 1100 N College Ave, Fayetteville, Arkansas. You can contact this provider via phone number 4794434301. The mailing address for Hyunsoon Edie Park is 1100 N College Ave, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Hyunsoon Edie Park |
|---|---|
| Address | 1100 N College Ave, Fayetteville, Arkansas |
| Phone Number | 4794434301 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1467418764 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2009-09-23 |
Provider Mailing Address Detail
| Address | 1100 N College Ave |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 727031944 |
| Phone Number | 4794434301 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 200200581 |
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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 |
|---|---|---|---|
| 5900452 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Hyunsoon Edie Park by the Centers for Medicare & Medicaid Services?
The Hyunsoon Edie Park has been assigned the NPI (National Provider Identifier) 1467418764 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Hyunsoon Edie Park is physically located?
The Hyunsoon Edie Park is situated at the following address: 1100 N College Ave, Fayetteville, AR 727031944.
What is the Hyunsoon Edie Park's specialty and taxonomy code?
The Hyunsoon Edie Park's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
On what date was the 1467418764 assigned to Hyunsoon Edie Park?
The Hyunsoon Edie Park was issued its 1467418764 on 2006-04-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Hyunsoon Edie Park most recently updated or revised?
The information pertaining to Hyunsoon Edie Park, including its address, specialty, and other relevant details, was last updated or revised on 2009-09-23.