Anastasia Sullwold Ristau in Chaska - Psychologist
Anastasia Sullwold Ristau - NPI 1124049903
Anastasia Sullwold Ristau is a Psychologist in Chaska, Minnesota. Anastasia Sullwold Ristau practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Anastasia Sullwold Ristau is 1124049903. The last update date is 2020-11-10.
Anastasia Sullwold Ristau's current location address is 111 Hundertmark Rd Ste 205n, Chaska, Minnesota. You can contact this provider via phone number 9529031350 and fax number 9524263856. The mailing address for Anastasia Sullwold Ristau is 111 Hundertmark Rd Ste 205n, Chaska, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anastasia Sullwold Ristau |
|---|---|
| Address | 111 Hundertmark Rd Ste 205n, Chaska, Minnesota |
| Phone Number | 9529031350 |
| Fax Number | 9524263856 |
| Sole Proprietor | N |
| Credentials | PHD LP |
NPI Number Detail
| NPI Number | 1124049903 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2020-11-10 |
Provider Mailing Address Detail
| Address | 111 Hundertmark Rd Ste 205n |
|---|---|
| City | Chaska |
| State | Minnesota (MN) |
| Post Code | 553181586 |
| Phone Number | 9529031350 |
| Fax Number | 9524263856 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP4538 |
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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 |
|---|---|---|---|
| 949674200 | MN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Anastasia Sullwold Ristau by the Centers for Medicare & Medicaid Services?
The Anastasia Sullwold Ristau has been issued the NPI (National Provider Identifier) 1124049903. 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 address where Anastasia Sullwold Ristau is geographically located?
The Anastasia Sullwold Ristau is physically situated at the following location: 111 Hundertmark Rd Ste 205N, Chaska, MN, 553181586.
What is the area of specialization for Anastasia Sullwold Ristau, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Anastasia Sullwold Ristau is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Anastasia Sullwold Ristau receive its 1124049903 assignment from the Centers for Medicare & Medicaid Services?
The Anastasia Sullwold Ristau was assigned its 1124049903 by the Centers for Medicare & Medicaid Services on 2006-07-21.
As of what date were the details pertaining to Anastasia Sullwold Ristau last refreshed?
The information related to the Anastasia Sullwold Ristau, including its address, specialty, and other relevant details, was last updated on 2020-11-10.