is a Psychiatry in , . practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for is 1093865941. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
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Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1093865941 |
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Provider Mailing Address Detail
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Provider's Primary Taxonomy Detail
Speciality | Psychiatry |
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Taxonomy | 2084P0800X |
Licence No | J1772 |
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 |
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4407308 | TX | AETNA | |
86W140 | TX | BLUE CROSS BLUE SHIELD | |
742645335001 | TX | STAR HRG |
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