Gary J Krupp in Minneapolis - Clinical Neuropsychologist
Gary J Krupp - NPI 1386648327
Gary J Krupp is a Clinical Neuropsychologist in Minneapolis, Minnesota. Gary J Krupp practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Gary J Krupp is 1386648327. The last update date is 2014-08-11.
Gary J Krupp's current location address is 2828 Chicago Ave South, Minneapolis, Minnesota. You can contact this provider via phone number 6128791000 and fax number 6128799116. The mailing address for Gary J Krupp is 2828 Chicago Ave South, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary J Krupp |
|---|---|
| Address | 2828 Chicago Ave South, Minneapolis, Minnesota |
| Phone Number | 6128791000 |
| Fax Number | 6128799116 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1386648327 |
|---|---|
| Provider Enumeration Date | 2005-06-08 |
| Last Updated Date | 2014-08-11 |
Provider Mailing Address Detail
| Address | 2828 Chicago Ave South |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 5540713200 |
| Phone Number | 6128791000 |
| Fax Number | 6128799116 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | LP0167 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6800000064 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gary J Krupp by the Centers for Medicare & Medicaid Services?
The Gary J Krupp has been issued the NPI (National Provider Identifier) 1386648327, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Gary J Krupp is physically located?
The Gary J Krupp is situated at the following address: 2828 Chicago Ave South, Minneapolis, MN 5540713200.
What is Gary J Krupp's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gary J Krupp is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.
When did the Gary J Krupp receive its 1386648327?
The Gary J Krupp was issued its 1386648327 on 2005-06-08, which is the date when the organization was assigned this unique identifier.
As of what date were the Gary J Krupp's details last updated?
The information pertaining to the Gary J Krupp, including its address, specialty, and other details, was most recently updated on 2014-08-11.