Doctor Name: | DR. ELSIE YAMILE BERMUDEZ POUCHARD |
NPI Number: | 1780955021 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | P5338 |
Business Practice Address: | 6621 Doniphan Dr Ste. G Canutillo, TX - 798355002 |
Business Phone Number: | 9158775100 |
Business Fax Number: | 9158775107 |
Mailing Address: | 6621 Doniphan Dr, Ste. G CANUTILLO |
State: | TX |
Postal Code: | 798355002 |
Phone Number: | 9158775100 |
Fax Number: | 9158775107 |
NPI Enumeration Date: | 01/18/2012 |
NPI Last Update Date: | 11/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | P5338 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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. |