Michael J Potegal in Minneapolis - Clinical Neuropsychologist
Michael J Potegal - NPI 1588748818
Michael J Potegal is a Clinical Neuropsychologist in Minneapolis, Minnesota. Michael J Potegal practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Michael J Potegal is 1588748818. The last update date is 2007-07-08.
Michael J Potegal's current location address is 420 Delaware Street Se, Minneapolis, Minnesota. You can contact this provider via phone number 6126257466. The mailing address for Michael J Potegal is 420 Delaware Street Se, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael J Potegal |
|---|---|
| Address | 420 Delaware Street Se, Minneapolis, Minnesota |
| Phone Number | 6126257466 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1588748818 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 420 Delaware Street Se |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 55455 |
| Phone Number | 6126257466 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | LP4310 |
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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 |
|---|---|---|---|
| 1029892 | MN | PREFERRED ONE | |
| 163A1PO | MN | BLUE CROSS BLUE SHIELD | |
| 1497309 | MN | ARAZ | |
| 7777470 | SD | -- | |
| 140910 | MN | UCARE | |
| 10387 | ND | -- | |
| HP40584 | MN | HEALTH PARTNERS | |
| 492031 | MT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Michael J Potegal by the Centers for Medicare & Medicaid Services?
The Michael J Potegal has been assigned the NPI (National Provider Identifier) 1588748818 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Michael J Potegal is physically located?
The Michael J Potegal is physically situated at the following address: 420 Delaware Street Se, Minneapolis, MN, 55455.
What is Michael J Potegal's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael J Potegal is Clinical Neuropsychologist, and the taxonomy code that classifies this field of practice is 103G00000X.
On what date did Michael J Potegal receive its 1588748818 assignment from the Centers for Medicare & Medicaid Services?
The Michael J Potegal was assigned its 1588748818 on 2006-10-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Michael J Potegal last refreshed?
The information related to the Michael J Potegal, including its address, specialty, and other relevant details, was last updated on 2007-07-08.