Charles Roderick Blons in Bloomington - Psychologist
Charles Roderick Blons - NPI 1578527628
Charles Roderick Blons is a Psychologist in Bloomington, Minnesota. Charles Roderick Blons practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Charles Roderick Blons is 1578527628. The last update date is 2010-07-02.
Charles Roderick Blons's current location address is 9001 E Bloomington Fwy, Bloomington, Minnesota. You can contact this provider via phone number 9528816797 and fax number 9528812028. The mailing address for Charles Roderick Blons is 9001 E Bloomington Fwy, Bloomington, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Roderick Blons |
|---|---|
| Address | 9001 E Bloomington Fwy, Bloomington, Minnesota |
| Phone Number | 9528816797 |
| Fax Number | 9528812028 |
| Sole Proprietor | Y |
| Credentials | PH.D., L.P |
NPI Number Detail
| NPI Number | 1578527628 |
|---|---|
| Provider Enumeration Date | 2006-04-14 |
| Last Updated Date | 2010-07-02 |
Provider Mailing Address Detail
| Address | 9001 E Bloomington Fwy |
|---|---|
| City | Bloomington |
| State | Minnesota (MN) |
| Post Code | 554203435 |
| Phone Number | 9528816797 |
| Fax Number | 9528812028 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP4351 |
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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 |
|---|---|---|---|
| 295L6BL | MN | BLUE CROSS BLUE SHIELD | |
| 30247-02 | MN | PREFERRED ONE | |
| 430048300 | MN | -- |
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What is the Charles Roderick Blons's 1578527628?
The Charles Roderick Blons's NPI (National Provider Identifier) Number is 1578527628. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the area of specialization for Charles Roderick Blons, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Charles Roderick Blons is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
When was the Charles Roderick Blons's 1578527628 issued?
The Charles Roderick Blons's 1578527628 was issued on 2006-04-14.
On what date did the Centers for Medicare & Medicaid Services issue the 1578527628 to Charles Roderick Blons?
The Charles Roderick Blons received its 1578527628 assignment from the Centers for Medicare & Medicaid Services on 2006-04-14.
When was the Charles Roderick Blons's information last updated?
The Charles Roderick Blons's information was last updated on 2010-07-02.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY