Edward C Modahl in Alexandria - Psychologist
Edward C Modahl - NPI 1831268812
Edward C Modahl is a Psychologist in Alexandria, Minnesota. Edward C Modahl practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Edward C Modahl is 1831268812. The last update date is 2007-07-08.
Edward C Modahl's current location address is 604 Winter Green, Alexandria, Minnesota. You can contact this provider via phone number 3208089310 and fax number 3202391420. The mailing address for Edward C Modahl is 604 Winter Green, Alexandria, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward C Modahl |
|---|---|
| Address | 604 Winter Green, Alexandria, Minnesota |
| Phone Number | 3208089310 |
| Fax Number | 3202391420 |
| Sole Proprietor | N |
| Credentials | MS ED LP |
NPI Number Detail
| NPI Number | 1831268812 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 604 Winter Green |
|---|---|
| City | Alexandria |
| State | Minnesota (MN) |
| Post Code | 56308 |
| Phone Number | 3208089310 |
| Fax Number | 3202391420 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP0834 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 218G3MO | MN | BLUE CROSS BLUE SHIELD | |
| 6267221 | UBH | ||
| 138070 | BHP |
Post Comment/ Review Below
What is the unique identification code assigned to Edward C Modahl by the Centers for Medicare & Medicaid Services?
The Edward C Modahl has been issued the NPI (National Provider Identifier) 1831268812. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Edward C Modahl's facilities are situated?
The facilities of Edward C Modahl are physically located at the following address: 604 Winter Green, Alexandria, MN, 56308.
What is Edward C Modahl's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Edward C Modahl is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Edward C Modahl receive the assignment of its 1831268812 from the Centers for Medicare & Medicaid Services?
The Edward C Modahl was issued its 1831268812 by the Centers for Medicare & Medicaid Services on 2006-11-06.
As of what date were the Edward C Modahl's details last updated?
The information pertaining to the Edward C Modahl, including its address, specialty, and other details, was most recently updated on 2007-07-08.