Richard Lee Gertsema in Duluth - Psychologist

Richard Lee Gertsema - NPI 1891727277

Richard Lee Gertsema is a Psychologist in Duluth, Minnesota. Richard Lee Gertsema practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Richard Lee Gertsema is 1891727277. The last update date is 2012-01-11.

Richard Lee Gertsema's current location address is 400 E 3rd St, Duluth, Minnesota. You can contact this provider via phone number 2187861186 and fax number 2187220373. The mailing address for Richard Lee Gertsema is 400 E 3rd St, Duluth, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Lee Gertsema
Address 400 E 3rd St, Duluth, Minnesota
Phone Number 2187861186
Fax Number 2187220373
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1891727277
Provider Enumeration Date 2006-07-07
Last Updated Date 2012-01-11

Provider Mailing Address Detail

Address 400 E 3rd St
City Duluth
State Minnesota (MN)
Post Code 558051951
Phone Number 2187861186
Fax Number 2187220373

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No LP1766
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
1891727277 MN --
34Q94GE MN BLUE CROSS BLUE SHIELD

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FAQs about Richard Lee Gertsema

What is the unique identifier code issued to Richard Lee Gertsema by the Centers for Medicare & Medicaid Services?

The Richard Lee Gertsema has been assigned the NPI (National Provider Identifier) 1891727277. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Richard Lee Gertsema?

The Richard Lee Gertsema is situated at 400 E 3Rd St, in the city of Duluth, state of MN, with the zip code 558051951.

What is Richard Lee Gertsema's specialized field of practice, and what is the corresponding taxonomy classification code?

The Richard Lee Gertsema's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.

When was the Richard Lee Gertsema's 1891727277 issued?

The Richard Lee Gertsema's 1891727277 was issued on 2006-07-07.

As of what date was the information pertaining to Richard Lee Gertsema, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Richard Lee Gertsema, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-01-11.

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