Larry Howard Pastor in Annandale - Forensic Psychiatry
Larry Howard Pastor - NPI 1114095981
Larry Howard Pastor is a Forensic Psychiatry in Annandale, Virginia. Larry Howard Pastor practices all healthcare services and medical treatments related to Forensic Psychiatry. The NPI Number for Larry Howard Pastor is 1114095981. The last update date is 2013-05-09.
Larry Howard Pastor's current location address is 3340 Woodburn Road, Annandale, Virginia. You can contact this provider via phone number 7035735679 and fax number 7038761640. The mailing address for Larry Howard Pastor is 3340 Woodburn Road, Annandale, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Larry Howard Pastor |
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Address | 3340 Woodburn Road, Annandale, Virginia |
Phone Number | 7035735679 |
Fax Number | 7038761640 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1114095981 |
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Provider Enumeration Date | 2006-12-01 |
Last Updated Date | 2013-05-09 |
Provider Mailing Address Detail
Address | 3340 Woodburn Road |
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City | Annandale |
State | Virginia (VA) |
Post Code | 22203 |
Phone Number | 7035735679 |
Fax Number | 7038761640 |
Provider's Primary Taxonomy Detail
Speciality | Forensic Psychiatry |
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Taxonomy | 2084F0202X |
Licence No | 101043183 |
Definition: Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and fo |
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What is the unique 10-digit identification code issued to Larry Howard Pastor by the Centers for Medicare & Medicaid Services?
The Larry Howard Pastor has been assigned the NPI (National Provider Identifier) 1114095981 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 physical address where Larry Howard Pastor is located?
The Larry Howard Pastor is situated at the following address: 3340 Woodburn Road, Annandale, VA, 22203.
What is the Larry Howard Pastor's area of specialization and corresponding taxonomy classification?
The Larry Howard Pastor's specialty field is Forensic Psychiatry, and it falls under the taxonomy code 2084F0202X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1114095981 to Larry Howard Pastor?
The Larry Howard Pastor received its 1114095981 assignment from the Centers for Medicare & Medicaid Services on 2006-12-01.
As of what date were the Larry Howard Pastor's details last updated?
The information pertaining to the Larry Howard Pastor, including its address, specialty, and other details, was most recently updated on 2013-05-09.