Doctor Name: | DR. LOUIS ANGEL VELAZQUEZ |
NPI Number: | 1154395556 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 204120 |
Business Practice Address: | 42 Wright St Palmer, MA - 010691156 |
Business Phone Number: | 4132845285 |
Business Fax Number: | 4132845384 |
Mailing Address: | 280 Chestnut St, 2nd Floor SPRINGFIELD |
State: | MA |
Postal Code: | 011991001 |
Phone Number: | 4137945700 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2006 |
NPI Last Update Date: | 05/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 204120 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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. |