A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Brain Injury Medicine |
2084P0301X | 86 | Physician/Neuropsychiatry | |
Child & Adolescent Psychiatry |
2084P0804X | 86 | Physician/Neuropsychiatry | |
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry |
| NPI Number | 1497421101 |
| LBN Legal business name | VITALIS WELLNESS CENTER OF PHOENIX, AZ PC |
| Authorized official | NELLIE SAMUEL - (CO-OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/22/2021 |
| Last updated | 07/19/2024 - More than a year ago |
| Identifiers | n/a |
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