Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 2084N0400X | Psychiatry & Neurology | Neurology | ME137271 | FLORIDA | No |
| 2 | 2084N0400X | Psychiatry & Neurology | Neurology | 66798 | CONNECTICUT | No |
| 3 | 2084N0400X | Psychiatry & Neurology | Neurology | R4801 | TEXAS | No |
| 4 | 2084N0400X | Psychiatry & Neurology | Neurology | EL07411 | NEW HAMPSHIRE | No |
| 5 | 2084N0400X | Psychiatry & Neurology | Neurology | 036.149129 | ILLINOIS | No |
| 6 | 2084N0600X | Psychiatry & Neurology | Clinical Neurophysiology | 141897 | CALIFORNIA | No |
| 7 | 2084N0600X | Psychiatry & Neurology | Clinical Neurophysiology | 60776019 | WASHINGTON | No |
| 8 | 2084N0600X | Psychiatry & Neurology | Clinical Neurophysiology | 291204 | NEW YORK | No |
| 9 | 2084N0600X | Psychiatry & Neurology | Clinical Neurophysiology | T2017-190 | ARKANSAS | No |
| 10 | 2084N0600X | Psychiatry & Neurology | Clinical Neurophysiology | MD2019-0214 | NEW MEXICO | No |
| 11 | 2084N0600X | Psychiatry & Neurology | Clinical Neurophysiology | 2017-01986 | NORTH CAROLINA | No |
| 12 | 2084N0600X | Psychiatry & Neurology | Clinical Neurophysiology | 2017031976 | MISSOURI | No |
| 13 | 2084N0400X | Psychiatry & Neurology | Neurology | 18918 | NEVADA | Yes |