Douglas Michael Whiteside in Minneapolis - Clinical Neuropsychologist

Douglas Michael Whiteside - NPI 1346280971

Douglas Michael Whiteside is a Clinical Neuropsychologist in Minneapolis, Minnesota. Douglas Michael Whiteside practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Douglas Michael Whiteside is 1346280971. The last update date is 2021-03-24.

Douglas Michael Whiteside's current location address is 909 Fulton St Se, Minneapolis, Minnesota. You can contact this provider via phone number 6126727422. The mailing address for Douglas Michael Whiteside is 909 Fulton St Se, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas Michael Whiteside
Address 909 Fulton St Se, Minneapolis, Minnesota
Phone Number 6126727422
Fax Number
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1346280971
Provider Enumeration Date 2006-06-08
Last Updated Date 2021-03-24

Provider Mailing Address Detail

Address 909 Fulton St Se
City Minneapolis
State Minnesota (MN)
Post Code 554554800
Phone Number 6126727422
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No LP6425
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LP6425 MN STATE LICENSE
2492 WA WA CLINICAL PSYCHOLOGY
71008267 IL STATE LICENSE

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FAQs about Douglas Michael Whiteside

What is the unique identifier code issued to Douglas Michael Whiteside by the Centers for Medicare & Medicaid Services?

The Douglas Michael Whiteside has been assigned the NPI (National Provider Identifier) 1346280971. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Douglas Michael Whiteside is physically located?

The Douglas Michael Whiteside is situated at the following address: 909 Fulton St Se, Minneapolis, MN 554554800.

What is the area of specialization for Douglas Michael Whiteside, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Douglas Michael Whiteside is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103G00000X.

When was the Douglas Michael Whiteside's 1346280971 issued?

The Douglas Michael Whiteside's 1346280971 was issued on 2006-06-08.

As of what date was the information regarding Douglas Michael Whiteside, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Douglas Michael Whiteside, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-03-24.

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