Organization Name: | MICHELLE B. MINTZER, M.D., P.A. |
NPI Number: | 1255481727 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELLE B. MINTZER (PRESIDENT) |
Mailing Address: | 600 Caisson Hill Rd Ft Riley |
State: | KS US |
Postal Code: | 664427037 |
Phone Number: | 9131111111 |
Fax Number: | |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 08/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 0423698 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
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. |