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 |
| Internal Medicine | 207R00000X | |
| Neurology | 2084N0400X |
* Indicates primary specialty
| NPI Number | 1255911988 |
| Credentials | MD, PHD |
| Entity | Individual |
| Enumeration date | 04/08/2021 |
| Last updated | 06/19/2025 - About 12 months 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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