Timothy J Pellegrin in Houma - Psychiatric/mental Health
Timothy J Pellegrin - NPI 1134160815
Timothy J Pellegrin is a Psychiatric/mental Health in Houma, Louisiana. Timothy J Pellegrin practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Timothy J Pellegrin is 1134160815. The last update date is 2022-06-17.
Timothy J Pellegrin's current location address is 1014 W Tunnel Blvd, Houma, Louisiana. You can contact this provider via phone number 9858511717 and fax number 9858683839. The mailing address for Timothy J Pellegrin is 1014 W Tunnel Blvd, Houma, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy J Pellegrin |
|---|---|
| Address | 1014 W Tunnel Blvd, Houma, Louisiana |
| Phone Number | 9858511717 |
| Fax Number | 9858683839 |
| Sole Proprietor | N |
| Credentials | PMHNP-BC |
NPI Number Detail
| NPI Number | 1134160815 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2022-06-17 |
Provider Mailing Address Detail
| Address | 1014 W Tunnel Blvd |
|---|---|
| City | Houma |
| State | Louisiana (LA) |
| Post Code | 703604050 |
| Phone Number | 9858511717 |
| Fax Number | 9858683839 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | APO4222 |
|
Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4C669 | LA | MEDICARE NUMBER | |
| 1152919 | LA | -- | |
| 568555 | LA | MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Timothy J Pellegrin by the Centers for Medicare & Medicaid Services?
The Timothy J Pellegrin has been assigned the NPI (National Provider Identifier) 1134160815 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Timothy J Pellegrin located?
The Timothy J Pellegrin is located at 1014 W Tunnel Blvd, Houma, LA 703604050.
What is Timothy J Pellegrin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Timothy J Pellegrin is Psychiatric/mental Health, and the corresponding taxonomy classification code for this specialized field is 363Lp0808X.
When was the Timothy J Pellegrin's 1134160815 issued?
The Timothy J Pellegrin's 1134160815 was issued on 2006-06-10.
When was the Timothy J Pellegrin's information last updated?
The Timothy J Pellegrin's information was last updated on 2022-06-17.
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