Kelly Jean Ravenfeather in Duluth - Psychologist
Kelly Jean Ravenfeather - NPI 1013054642
Kelly Jean Ravenfeather is a Psychologist in Duluth, Minnesota. Kelly Jean Ravenfeather practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Kelly Jean Ravenfeather is 1013054642. The last update date is 2007-07-09.
Kelly Jean Ravenfeather's current location address is 230 E Superior St Ste 101, Duluth, Minnesota. You can contact this provider via phone number 2187265433 and fax number 2182792844. The mailing address for Kelly Jean Ravenfeather is 230 E Superior St Ste 101, Duluth, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelly Jean Ravenfeather |
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Address | 230 E Superior St Ste 101, Duluth, Minnesota |
Phone Number | 2187265433 |
Fax Number | 2182792844 |
Sole Proprietor | Y |
Credentials | MS ED, LP, |
NPI Number Detail
NPI Number | 1013054642 |
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Provider Enumeration Date | 2007-01-31 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 230 E Superior St Ste 101 |
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City | Duluth |
State | Minnesota (MN) |
Post Code | 558022104 |
Phone Number | 2187265433 |
Fax Number | 2182792844 |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | LP1839 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
HP35232 | MN | HEALTHPARTNERS | |
226395 | MN | MANAGED HEALTH NETWORK | |
6235843 | MN | MEDICA, UBH, SELECT CARE | |
21F85RA | MN | BLUECROSS BLUESHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Kelly Jean Ravenfeather by the Centers for Medicare & Medicaid Services?
The Kelly Jean Ravenfeather has been issued the NPI (National Provider Identifier) 1013054642. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kelly Jean Ravenfeather located?
The Kelly Jean Ravenfeather is located at 230 E Superior St Ste 101, Duluth, MN 558022104.
What is Kelly Jean Ravenfeather's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly Jean Ravenfeather's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013054642 to Kelly Jean Ravenfeather?
The Centers for Medicare & Medicaid Services assigned the 1013054642 to Kelly Jean Ravenfeather on 2007-01-31.
As of what date was the information pertaining to Kelly Jean Ravenfeather, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kelly Jean Ravenfeather, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.