Geraldine Chavis is a Psychologist in Edina, Minnesota. Geraldine Chavis practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Geraldine Chavis is 1164570396. The last update date is 2007-07-08.
Geraldine Chavis's current location address is 4005 W 65th St, Edina, Minnesota. You can contact this provider via phone number 9529229090 and fax number 9529290022. The mailing address for Geraldine Chavis is 4005 W 65th St, Edina, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Geraldine Chavis |
|---|---|
| Address | 4005 W 65th St, Edina, Minnesota |
| Phone Number | 9529229090 |
| Fax Number | 9529290022 |
| Sole Proprietor | Y |
| Credentials | MA |
NPI Number Detail
| NPI Number | 1164570396 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4005 W 65th St |
|---|---|
| City | Edina |
| State | Minnesota (MN) |
| Post Code | 554351720 |
| Phone Number | 9529229090 |
| Fax Number | 9529290022 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP3463 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8B827CH | MN | BLUE CROSS BLUE SHIELD | |
| 1011769 | MN | PREFERRED ONE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Geraldine Chavis by the Centers for Medicare & Medicaid Services?
The Geraldine Chavis has been assigned the NPI (National Provider Identifier) 1164570396 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Geraldine Chavis?
The Geraldine Chavis is situated at 4005 W 65Th St, in the city of Edina, state of MN, with the zip code 554351720.
What is Geraldine Chavis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Geraldine Chavis'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 issue the 1164570396 to Geraldine Chavis?
The Geraldine Chavis received its 1164570396 assignment from the Centers for Medicare & Medicaid Services on 2007-01-05.
As of what date were the details pertaining to Geraldine Chavis last refreshed?
The information related to the Geraldine Chavis, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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