Organization · Type 2 NPI
Adult and Geriatric Psychiatry Service
Geriatric Psychiatry Physician · Johnson City, TN
NPI number
1053650200
Active
Practice location
1618 Strawberry Ln
Johnson City, TN 37604-7700
Mailing address
101 Med Tech Pkwy Ste 407
Johnson City, TN 37604-4000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Psychiatry Physician Primary | 2084P0805X | MD19195 (TN) |
Geriatric Psychiatry Physician: 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.
About NPI 1053650200
Adult and Geriatric Psychiatry Service's National Provider Identifier is 1053650200, issued on Feb 7, 2013. The primary taxonomy on file is Geriatric Psychiatry Physician (2084P0805X), and the practice location is in Johnson City, TN. The record was last updated on Feb 7, 2013.