Wendell Street Psychiatric Llc in Fairbanks - Child & Adolescent Psychiatry
Wendell Street Psychiatric Llc - NPI 1568671766
Wendell Street Psychiatric Llc is a Child & Adolescent Psychiatry in Fairbanks, Alaska. Wendell Street Psychiatric Llc practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Wendell Street Psychiatric Llc is 1568671766. The last update date is 2007-08-08.
Wendell Street Psychiatric Llc's current location address is 225 Wendell St, Fairbanks, Alaska. You can contact this provider via phone number 9074554135 and fax number 9074554115. The mailing address for Wendell Street Psychiatric Llc is 225 Wendell St, Fairbanks, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wendell Street Psychiatric Llc |
|---|---|
| Address | 225 Wendell St, Fairbanks, Alaska |
| Phone Number | 9074554135 |
| Fax Number | 9074554115 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRES |
|---|---|
| Authorized Official Name | Barker King Mikki |
| Credentials | DO |
| Telephone Number | 9074554135 |
NPI Number Detail
| NPI Number | 1568671766 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2007-08-08 |
Provider Mailing Address Detail
| Address | 225 Wendell St |
|---|---|
| City | Fairbanks |
| State | Alaska (AK) |
| Post Code | 997014835 |
| Phone Number | 9074554135 |
| Fax Number | 9074554115 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 3921 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Post Comment/ Review Below
What is the unique identification code assigned to Wendell Street Psychiatric Llc by the Centers for Medicare & Medicaid Services?
The Wendell Street Psychiatric Llc has been issued the NPI (National Provider Identifier) 1568671766. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Wendell Street Psychiatric Llc is geographically located?
The Wendell Street Psychiatric Llc is physically situated at the following location: 225 Wendell St, Fairbanks, AK, 997014835.
What is the Wendell Street Psychiatric Llc's specialty and taxonomy code?
The Wendell Street Psychiatric Llc's specialty is Child & Adolescent Psychiatry, and the corresponding taxonomy code is 2084P0804X.
When did Wendell Street Psychiatric Llc receive its 1568671766 assignment?
The Wendell Street Psychiatric Llc was assigned its 1568671766 on 2007-05-22, which is the date when this unique identifier was issued to the organization.
When was the Wendell Street Psychiatric Llc's information last updated?
The Wendell Street Psychiatric Llc's information was last updated on 2007-08-08.