A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Addiction Medicine | 2084A0401X |
| Family Medicine | 207Q00000X | |
| Primary Care | 363LP2300X | |
| Psychiatry | 2084P0800X |
* Indicates primary specialty
| NPI Number | 1053801647 |
| Credentials | DNP, FNP, PMHNP |
| Entity | Individual |
| Enumeration date | 05/18/2018 |
| Last updated | 03/02/2022 - About 4 years ago |
| Sole proprietor1 | No |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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