Kenneth Bruce Sutherland in Bloomington - Psychologist
Kenneth Bruce Sutherland - NPI 1952434029
Kenneth Bruce Sutherland is a Psychologist in Bloomington, Minnesota. Kenneth Bruce Sutherland practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Kenneth Bruce Sutherland is 1952434029. The last update date is 2007-07-09.
Kenneth Bruce Sutherland's current location address is 7800 Metro Pkwy, Bloomington, Minnesota. You can contact this provider via phone number 9528546066 and fax number 9528546766. The mailing address for Kenneth Bruce Sutherland is 7800 Metro Pkwy, Bloomington, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Bruce Sutherland |
|---|---|
| Address | 7800 Metro Pkwy, Bloomington, Minnesota |
| Phone Number | 9528546066 |
| Fax Number | 9528546766 |
| Sole Proprietor | Y |
| Credentials | L.P. |
NPI Number Detail
| NPI Number | 1952434029 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 7800 Metro Pkwy |
|---|---|
| City | Bloomington |
| State | Minnesota (MN) |
| Post Code | 554251514 |
| Phone Number | 9528546066 |
| Fax Number | 9528546766 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP1175 |
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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 |
|---|---|---|---|
| 553869 | MN | VALUE OPTIONS | |
| 990990306005 | MN | PREFERRED ONE | |
| 101776 | MN | UCARE | |
| 6237451 | MN | MEDICA | |
| 3033056 | MN | HEALTH PARTNERS | |
| 64G51SU | MN | BLUE CROSS BLUE SHIELD MN |
Post Comment/ Review Below
What is the Kenneth Bruce Sutherland's unique identification number?
The Kenneth Bruce Sutherland has been assigned the NPI (National Provider Identifier) Number 1952434029 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Kenneth Bruce Sutherland is physically located?
The Kenneth Bruce Sutherland is situated at the following address: 7800 Metro Pkwy, Bloomington, MN 554251514.
What is the Kenneth Bruce Sutherland's specialty and taxonomy code?
The Kenneth Bruce Sutherland's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
When did Kenneth Bruce Sutherland receive its 1952434029 assignment?
The Kenneth Bruce Sutherland was assigned its 1952434029 on 2007-03-14, which is the date when this unique identifier was issued to the organization.
When was the information regarding Kenneth Bruce Sutherland, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kenneth Bruce Sutherland, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.