Paul Gerard Larussa in Montgomery - Psychiatry

Paul Gerard Larussa - NPI 1861580672

Paul Gerard Larussa is a Psychiatry in Montgomery, Alabama. Paul Gerard Larussa practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Paul Gerard Larussa is 1861580672. The last update date is 2016-10-11.

Paul Gerard Larussa's current location address is 233 Winton M Blount Loop, Montgomery, Alabama. You can contact this provider via phone number 3342392622 and fax number 3346257602. The mailing address for Paul Gerard Larussa is 233 Winton M Blount Loop, Montgomery, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Gerard Larussa
Address 233 Winton M Blount Loop, Montgomery, Alabama
Phone Number 3342392622
Fax Number 3346257602
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1861580672
Provider Enumeration Date 2006-10-10
Last Updated Date 2016-10-11

Provider Mailing Address Detail

Address 233 Winton M Blount Loop
City Montgomery
State Alabama (AL)
Post Code 361173507
Phone Number 3342392622
Fax Number 3346257602

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 14164
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
510-95129 AL BLUE CROSS PROVIDER #

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FAQs about Paul Gerard Larussa

What is the Paul Gerard Larussa's 1861580672?

The Paul Gerard Larussa's NPI (National Provider Identifier) Number is 1861580672. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Paul Gerard Larussa is physically located?

The Paul Gerard Larussa is physically situated at the following address: 233 Winton M Blount Loop, Montgomery, AL, 361173507.

What is Paul Gerard Larussa'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 Paul Gerard Larussa is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.

On what date did the Paul Gerard Larussa receive the assignment of its 1861580672 from the Centers for Medicare & Medicaid Services?

The Paul Gerard Larussa was issued its 1861580672 by the Centers for Medicare & Medicaid Services on 2006-10-10.

When was the information regarding Paul Gerard Larussa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Paul Gerard Larussa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-10-11.

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