Mary Hammargren in Alexandria - Psychologist
Mary Hammargren - NPI 1477628477
Mary Hammargren is a Psychologist in Alexandria, Minnesota. Mary Hammargren practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mary Hammargren is 1477628477. The last update date is 2007-07-08.
Mary Hammargren's current location address is 625 Broadway St Ste 105, Alexandria, Minnesota. You can contact this provider via phone number 3207634100 and fax number 3207634100. The mailing address for Mary Hammargren is 625 Broadway St Ste 105, Alexandria, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Hammargren |
|---|---|
| Address | 625 Broadway St Ste 105, Alexandria, Minnesota |
| Phone Number | 3207634100 |
| Fax Number | 3207634100 |
| Sole Proprietor | Y |
| Credentials | MA, LP |
NPI Number Detail
| NPI Number | 1477628477 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 625 Broadway St Ste 105 |
|---|---|
| City | Alexandria |
| State | Minnesota (MN) |
| Post Code | 563081664 |
| Phone Number | 3207634100 |
| Fax Number | 3207634100 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP 1331 |
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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 |
|---|---|---|---|
| 15Q68HA | BCBS OF MN | ||
| 1100530 | MN | -- |
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What is the unique identification code assigned to Mary Hammargren by the Centers for Medicare & Medicaid Services?
The Mary Hammargren has been issued the NPI (National Provider Identifier) 1477628477. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mary Hammargren?
The Mary Hammargren is physically situated at 625 Broadway St Ste 105, in the city of Alexandria, state of MN, with the postal code 563081664.
What is Mary Hammargren's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Hammargren is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1477628477 to Mary Hammargren?
The Mary Hammargren received its 1477628477 assignment from the Centers for Medicare & Medicaid Services on 2006-11-22.
As of what date were the details pertaining to Mary Hammargren last refreshed?
The information related to the Mary Hammargren, including its address, specialty, and other relevant details, was last updated on 2007-07-08.