Doctor Name: | DR. ABDUL MATEEN |
NPI Number: | 1114061694 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 2001031726 |
Business Practice Address: | 1500 W Ashland St Nevada, MO - 647721710 |
Business Phone Number: | 4176672666 |
Business Fax Number: | |
Mailing Address: | 304 N Olive St, NEVADA |
State: | MO |
Postal Code: | 647721927 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 2001031726 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | 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. |