Tia Rene' Konzer in Charlotte - Child & Adolescent Psychiatry
Tia Rene' Konzer - NPI 1477689578
Tia Rene' Konzer is a Child & Adolescent Psychiatry in Charlotte, North Carolina. Tia Rene' Konzer practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Tia Rene' Konzer is 1477689578. The last update date is 2015-11-24.
Tia Rene' Konzer's current location address is 1900 Randolph Rd, Charlotte, North Carolina. You can contact this provider via phone number 7043841246 and fax number 7043846072. The mailing address for Tia Rene' Konzer is 1900 Randolph Rd, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tia Rene' Konzer |
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Address | 1900 Randolph Rd, Charlotte, North Carolina |
Phone Number | 7043841246 |
Fax Number | 7043846072 |
Sole Proprietor | N |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1477689578 |
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Provider Enumeration Date | 2007-02-26 |
Last Updated Date | 2015-11-24 |
Provider Mailing Address Detail
Address | 1900 Randolph Rd |
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City | Charlotte |
State | North Carolina (NC) |
Post Code | 282071122 |
Phone Number | 7043841246 |
Fax Number | 7043846072 |
Provider's Primary Taxonomy Detail
Speciality | Child & Adolescent Psychiatry |
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Taxonomy | 2084P0804X |
Licence No | 2009-01442 |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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5912201 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tia Rene' Konzer by the Centers for Medicare & Medicaid Services?
The Tia Rene' Konzer has been issued the NPI (National Provider Identifier) 1477689578 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Tia Rene' Konzer is physically located?
The Tia Rene' Konzer is situated at the following address: 1900 Randolph Rd, Charlotte, NC 282071122.
What is Tia Rene' Konzer'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 Tia Rene' Konzer is Child & Adolescent Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0804X.
On what date did the Tia Rene' Konzer receive the assignment of its 1477689578 from the Centers for Medicare & Medicaid Services?
The Tia Rene' Konzer was issued its 1477689578 by the Centers for Medicare & Medicaid Services on 2007-02-26.
As of what date were the details related to Tia Rene' Konzer most recently updated or revised?
The information pertaining to Tia Rene' Konzer, including its address, specialty, and other relevant details, was last updated or revised on 2015-11-24.