Organization · Type 2 NPI
Magnificent Minds Telemed
Child & Adolescent Psychiatry Physician · Gonzales, LA
NPI number
1275255309
Active
Practice location
630 W Cornerview St Ste B
Gonzales, LA 70737-2742
Mailing address
PO Box 359
Gonzales, LA 70707-0359
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
2 other providers at this address
About NPI 1275255309
Magnificent Minds Telemed's National Provider Identifier is 1275255309, issued on Sep 15, 2022. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Gonzales, LA. The record was last updated on Sep 15, 2022.