Mark Lawrence Prochaska in Overland Park - Geriatric Psychiatry
Mark Lawrence Prochaska - NPI 1417953290
Mark Lawrence Prochaska is a Geriatric Psychiatry in Overland Park, Kansas. Mark Lawrence Prochaska practices all healthcare services and medical treatments related to Geriatric Psychiatry. The NPI Number for Mark Lawrence Prochaska is 1417953290. The last update date is 2007-07-09.
Mark Lawrence Prochaska's current location address is 7011 W 121st St, Overland Park, Kansas. You can contact this provider via phone number 9133451191 and fax number 9133451464. The mailing address for Mark Lawrence Prochaska is 7011 W 121st St, Overland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Lawrence Prochaska |
|---|---|
| Address | 7011 W 121st St, Overland Park, Kansas |
| Phone Number | 9133451191 |
| Fax Number | 9133451464 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417953290 |
|---|---|
| Provider Enumeration Date | 2005-06-25 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 7011 W 121st St |
|---|---|
| City | Overland Park |
| State | Kansas (KS) |
| Post Code | 662092029 |
| Phone Number | 9133451191 |
| Fax Number | 9133451464 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Psychiatry |
|---|---|
| Taxonomy | 2084P0805X |
| Licence No | 04-21187 |
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Definition: Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
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Post Comment/ Review Below
What is the unique identifier code issued to Mark Lawrence Prochaska by the Centers for Medicare & Medicaid Services?
The Mark Lawrence Prochaska has been assigned the NPI (National Provider Identifier) 1417953290. 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 share the complete physical location address where Mark Lawrence Prochaska's facilities are situated?
The facilities of Mark Lawrence Prochaska are physically located at the following address: 7011 W 121St St, Overland Park, KS, 662092029.
What is Mark Lawrence Prochaska's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Lawrence Prochaska is Geriatric Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0805X.
When did Mark Lawrence Prochaska receive its 1417953290 assignment?
The Mark Lawrence Prochaska was assigned its 1417953290 on 2005-06-25, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Mark Lawrence Prochaska most recently updated or revised?
The information pertaining to Mark Lawrence Prochaska, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.