Stephani Louise Bruyer in Bloomington - Psychologist
Stephani Louise Bruyer - NPI 1790975928
Stephani Louise Bruyer is a Psychologist in Bloomington, Minnesota. Stephani Louise Bruyer practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Stephani Louise Bruyer is 1790975928. The last update date is 2014-02-04.
Stephani Louise Bruyer's current location address is 1603 W Old Shakopee Rd, Bloomington, Minnesota. You can contact this provider via phone number 9527673680 and fax number 9527670018. The mailing address for Stephani Louise Bruyer is 1603 W Old Shakopee Rd, Bloomington, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephani Louise Bruyer |
|---|---|
| Address | 1603 W Old Shakopee Rd, Bloomington, Minnesota |
| Phone Number | 9527673680 |
| Fax Number | 9527670018 |
| Sole Proprietor | Y |
| Credentials | M.A. |
NPI Number Detail
| NPI Number | 1790975928 |
|---|---|
| Provider Enumeration Date | 2007-07-25 |
| Last Updated Date | 2014-02-04 |
Provider Mailing Address Detail
| Address | 1603 W Old Shakopee Rd |
|---|---|
| City | Bloomington |
| State | Minnesota (MN) |
| Post Code | 554313065 |
| Phone Number | 9527673680 |
| Fax Number | 9527670018 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP3669 |
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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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What is the unique 10-digit identifier code assigned to Stephani Louise Bruyer by the Centers for Medicare & Medicaid Services?
The Stephani Louise Bruyer has been issued the NPI (National Provider Identifier) 1790975928 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Stephani Louise Bruyer located?
The Stephani Louise Bruyer is located at 1603 W Old Shakopee Rd, Bloomington, MN 554313065.
What is the Stephani Louise Bruyer's area of specialization and corresponding taxonomy classification?
The Stephani Louise Bruyer's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did Stephani Louise Bruyer receive its 1790975928 assignment from the Centers for Medicare & Medicaid Services?
The Stephani Louise Bruyer was assigned its 1790975928 on 2007-07-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Stephani Louise Bruyer last refreshed?
The information related to the Stephani Louise Bruyer, including its address, specialty, and other relevant details, was last updated on 2014-02-04.
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