Randolph J. Canterbury in Charlottesville - Psychiatry

Randolph J. Canterbury - NPI 1558406504

Randolph J. Canterbury is a Psychiatry in Charlottesville, Virginia. Randolph J. Canterbury practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Randolph J. Canterbury is 1558406504. The last update date is 2020-10-13.

Randolph J. Canterbury's current location address is 1300 Jefferson Park Ave, Charlottesville, Virginia. You can contact this provider via phone number 4349242241 and fax number 4349245149. The mailing address for Randolph J. Canterbury is 1300 Jefferson Park Ave, Charlottesville, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Randolph J. Canterbury
Address 1300 Jefferson Park Ave, Charlottesville, Virginia
Phone Number 4349242241
Fax Number 4349245149
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1558406504
Provider Enumeration Date 2007-02-20
Last Updated Date 2020-10-13

Provider Mailing Address Detail

Address 1300 Jefferson Park Ave
City Charlottesville
State Virginia (VA)
Post Code 229033363
Phone Number 4349242241
Fax Number 4349245149

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 101031544
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
7117841 VA --

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FAQs about Randolph J. Canterbury

What is the unique 10-digit identification code issued to Randolph J. Canterbury by the Centers for Medicare & Medicaid Services?

The Randolph J. Canterbury has been assigned the NPI (National Provider Identifier) 1558406504 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Randolph J. Canterbury located?

The Randolph J. Canterbury is located at 1300 Jefferson Park Ave, Charlottesville, VA 229033363.

What is the Randolph J. Canterbury's area of specialization and corresponding taxonomy classification?

The Randolph J. Canterbury's specialty field is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their specialties.

When was the Randolph J. Canterbury's 1558406504 issued?

The Randolph J. Canterbury's 1558406504 was issued on 2007-02-20.

When was the information regarding Randolph J. Canterbury, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Randolph J. Canterbury, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-10-13.

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