Northtown Psychology Associates Llc in Coon Rapids - Psychologist
Northtown Psychology Associates Llc - NPI 1174573067
Northtown Psychology Associates Llc is a Psychologist in Coon Rapids, Minnesota. Northtown Psychology Associates Llc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Northtown Psychology Associates Llc is 1174573067. The last update date is 2021-02-02.
Northtown Psychology Associates Llc's current location address is 199 Coon Rapids Blvd Nw Ste 113, Coon Rapids, Minnesota. You can contact this provider via phone number 7637858111 and fax number 7637856946. The mailing address for Northtown Psychology Associates Llc is 199 Coon Rapids Blvd Nw Ste 113, Coon Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northtown Psychology Associates Llc |
|---|---|
| Address | 199 Coon Rapids Blvd Nw Ste 113, Coon Rapids, Minnesota |
| Phone Number | 7637858111 |
| Fax Number | 7637856946 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHOLOGI |
|---|---|
| Authorized Official Name | Noller A Gail |
| Credentials | PSYD, LP |
| Telephone Number | 7637858111 |
NPI Number Detail
| NPI Number | 1174573067 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2021-02-02 |
Provider Mailing Address Detail
| Address | 199 Coon Rapids Blvd Nw Ste 113 |
|---|---|
| City | Coon Rapids |
| State | Minnesota (MN) |
| Post Code | 554335859 |
| Phone Number | 7637858111 |
| Fax Number | 7637856946 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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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 Northtown Psychology Associates Llc's 1174573067?
The Northtown Psychology Associates Llc's NPI (National Provider Identifier) Number is 1174573067. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Northtown Psychology Associates Llc?
The Northtown Psychology Associates Llc is situated at 199 Coon Rapids Blvd Nw Ste 113, in the city of Coon Rapids, state of MN, with the zip code 554335859.
What is the area of specialization for Northtown Psychology Associates Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Northtown Psychology Associates Llc is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174573067 to Northtown Psychology Associates Llc?
The Centers for Medicare & Medicaid Services originally issued the 1174573067 to Northtown Psychology Associates Llc on 2006-05-11.
When was the information pertaining to Northtown Psychology Associates Llc most recently updated or revised?
The details related to Northtown Psychology Associates Llc, including its address, specialty, and other relevant information, were last updated or revised on 2021-02-02.