Lisa Marie Fedora in Duluth - Psychologist
Lisa Marie Fedora - NPI 1023174638
Lisa Marie Fedora is a Psychologist in Duluth, Minnesota. Lisa Marie Fedora practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Lisa Marie Fedora is 1023174638. The last update date is 2023-03-29.
Lisa Marie Fedora's current location address is 11 E Superior St Ste 415, Duluth, Minnesota. You can contact this provider via phone number 2182490595 and fax number 2184613666. The mailing address for Lisa Marie Fedora is 11 E Superior St Ste 415, Duluth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Marie Fedora |
|---|---|
| Address | 11 E Superior St Ste 415, Duluth, Minnesota |
| Phone Number | 2182490595 |
| Fax Number | 2184613666 |
| Sole Proprietor | N |
| Credentials | M.A., L.P. |
NPI Number Detail
| NPI Number | 1023174638 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2023-03-29 |
Provider Mailing Address Detail
| Address | 11 E Superior St Ste 415 |
|---|---|
| City | Duluth |
| State | Minnesota (MN) |
| Post Code | 558023008 |
| Phone Number | 2182490595 |
| Fax Number | 2184613666 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP4660 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Lisa Marie Fedora by the Centers for Medicare & Medicaid Services (CMS)?
The Lisa Marie Fedora has been assigned the NPI (National Provider Identifier) 1023174638. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Lisa Marie Fedora is physically located?
The Lisa Marie Fedora is physically situated at the following address: 11 E Superior St Ste 415, Duluth, MN, 558023008.
What is Lisa Marie Fedora's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lisa Marie Fedora is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
When was the Lisa Marie Fedora's 1023174638 issued?
The Lisa Marie Fedora's 1023174638 was issued on 2006-12-28.
As of what date were the details related to Lisa Marie Fedora most recently updated or revised?
The information pertaining to Lisa Marie Fedora, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-29.