Simonson Psychological Services in Blaine - Psychologist
Simonson Psychological Services - NPI 1407907397
Simonson Psychological Services is a Psychologist in Blaine, Minnesota. Simonson Psychological Services practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Simonson Psychological Services is 1407907397. The last update date is 2020-08-22.
Simonson Psychological Services's current location address is 10267 University Ave Ne, Blaine, Minnesota. You can contact this provider via phone number 7636397462 and fax number 7637865462. The mailing address for Simonson Psychological Services is 10267 University Ave Ne, Blaine, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Simonson Psychological Services |
|---|---|
| Address | 10267 University Ave Ne, Blaine, Minnesota |
| Phone Number | 7636397462 |
| Fax Number | 7637865462 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Simonson Paul Daniel |
| Credentials | MS LP |
| Telephone Number | 7636397462 |
NPI Number Detail
| NPI Number | 1407907397 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 10267 University Ave Ne |
|---|---|
| City | Blaine |
| State | Minnesota (MN) |
| Post Code | 55434 |
| Phone Number | 7636397462 |
| Fax Number | 7637865462 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 3450 |
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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 |
|---|---|---|---|
| 53M835I | MN | BCBS BLUE CROSS BLUE SHIE |
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What is the unique 10-digit identification code issued to Simonson Psychological Services by the Centers for Medicare & Medicaid Services?
The Simonson Psychological Services has been assigned the NPI (National Provider Identifier) 1407907397 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Simonson Psychological Services's facilities are situated?
The facilities of Simonson Psychological Services are physically located at the following address: 10267 University Ave Ne, Blaine, MN, 55434.
What is Simonson Psychological Services's area of expertise and its corresponding taxonomy classification?
The Simonson Psychological Services's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Simonson Psychological Services receive the assignment of its 1407907397 from the Centers for Medicare & Medicaid Services?
The Simonson Psychological Services was issued its 1407907397 by the Centers for Medicare & Medicaid Services on 2007-01-16.
When was the information regarding Simonson Psychological Services most recently updated?
The details pertaining to the Simonson Psychological Services, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC