Gordon L Blundell in Madisonville - Child & Adolescent Psychiatry

Gordon L Blundell - NPI 1003091729

Gordon L Blundell is a Child & Adolescent Psychiatry in Madisonville, Louisiana. Gordon L Blundell practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Gordon L Blundell is 1003091729. The last update date is 2007-12-31.

Gordon L Blundell's current location address is 179 Hwy 22 East, Madisonville, Louisiana. You can contact this provider via phone number 9858458101 and fax number 9858458130. The mailing address for Gordon L Blundell is 179 Hwy 22 East, Madisonville, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Gordon L Blundell
Address 179 Hwy 22 East, Madisonville, Louisiana
Phone Number 9858458101
Fax Number 9858458130
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1003091729
Provider Enumeration Date 2007-12-31
Last Updated Date 2007-12-31

Provider Mailing Address Detail

Address 179 Hwy 22 East
City Madisonville
State Louisiana (LA)
Post Code 70447
Phone Number 9858458101
Fax Number 9858458130

Provider's Primary Taxonomy Detail

Speciality Child & Adolescent Psychiatry
Taxonomy 2084P0804X
Licence No 15764
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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FAQs about Gordon L Blundell

What is the unique identifier code issued to Gordon L Blundell by the Centers for Medicare & Medicaid Services?

The Gordon L Blundell has been assigned the NPI (National Provider Identifier) 1003091729. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Gordon L Blundell?

The Gordon L Blundell is physically situated at 179 Hwy 22 East, in the city of Madisonville, state of LA, with the postal code 70447.

What is the Gordon L Blundell's area of specialization and corresponding taxonomy classification?

The Gordon L Blundell's specialty field is Child & Adolescent Psychiatry, and it falls under the taxonomy code 2084P0804X, which categorizes healthcare providers based on their specialties.

On what date did Gordon L Blundell receive its 1003091729 assignment from the Centers for Medicare & Medicaid Services?

The Gordon L Blundell was assigned its 1003091729 on 2007-12-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Gordon L Blundell most recently updated or revised?

The information pertaining to Gordon L Blundell, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-31.

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