Jeffrey T Overdyke in Shreveport - Geriatric Psychiatry
Jeffrey T Overdyke - NPI 1942414552
Jeffrey T Overdyke is a Geriatric Psychiatry in Shreveport, Louisiana. Jeffrey T Overdyke practices all healthcare services and medical treatments related to Geriatric Psychiatry. The NPI Number for Jeffrey T Overdyke is 1942414552. The last update date is 2010-11-08.
Jeffrey T Overdyke's current location address is 1202 Louisiana Ave, Shreveport, Louisiana. You can contact this provider via phone number 3182128574 and fax number 3182124153. The mailing address for Jeffrey T Overdyke is 1202 Louisiana Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey T Overdyke |
|---|---|
| Address | 1202 Louisiana Ave, Shreveport, Louisiana |
| Phone Number | 3182128574 |
| Fax Number | 3182124153 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1942414552 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2010-11-08 |
Provider Mailing Address Detail
| Address | 1202 Louisiana Ave |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711013910 |
| Phone Number | 3182128574 |
| Fax Number | 3182124153 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Psychiatry |
|---|---|
| Taxonomy | 2084P0805X |
| Licence No | 203179 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4M560DL73 | LA | MEDICARE PTAN | |
| 1810975 | LA | -- |
Post Comment/ Review Below
What is the Jeffrey T Overdyke's 1942414552?
The Jeffrey T Overdyke's NPI (National Provider Identifier) Number is 1942414552. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jeffrey T Overdyke is located?
The Jeffrey T Overdyke is situated at the following address: 1202 Louisiana Ave, Shreveport, LA, 711013910.
What is Jeffrey T Overdyke'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 Jeffrey T Overdyke is Geriatric Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0805X.
On what date did the Jeffrey T Overdyke receive the assignment of its 1942414552 from the Centers for Medicare & Medicaid Services?
The Jeffrey T Overdyke was issued its 1942414552 by the Centers for Medicare & Medicaid Services on 2007-05-10.
As of what date were the details related to Jeffrey T Overdyke most recently updated or revised?
The information pertaining to Jeffrey T Overdyke, including its address, specialty, and other relevant details, was last updated or revised on 2010-11-08.
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