Susan M Hendrickson in Edina - Psychologist
Susan M Hendrickson - NPI 1063591147
Susan M Hendrickson is a Psychologist in Edina, Minnesota. Susan M Hendrickson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Susan M Hendrickson is 1063591147. The last update date is 2023-06-20.
Susan M Hendrickson's current location address is 7600 Parklawn Ave Ste 415, Edina, Minnesota. You can contact this provider via phone number 6128458768. The mailing address for Susan M Hendrickson is 7600 Parklawn Ave Ste 415, Edina, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan M Hendrickson |
|---|---|
| Address | 7600 Parklawn Ave Ste 415, Edina, Minnesota |
| Phone Number | 6128458768 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD, LP |
NPI Number Detail
| NPI Number | 1063591147 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2023-06-20 |
Provider Mailing Address Detail
| Address | 7600 Parklawn Ave Ste 415 |
|---|---|
| City | Edina |
| State | Minnesota (MN) |
| Post Code | 554355129 |
| Phone Number | 6128458768 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP4455 |
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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 |
|---|---|---|---|
| 937451500 | MN | MN HEALTH CARE PROGRAMS | |
| 404K4HE | MN | BLUE CROSS BLUE SHIELD MN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Susan M Hendrickson by the Centers for Medicare & Medicaid Services?
The Susan M Hendrickson has been assigned the NPI (National Provider Identifier) 1063591147 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Susan M Hendrickson is physically located?
The Susan M Hendrickson is physically situated at the following address: 7600 Parklawn Ave Ste 415, Edina, MN, 554355129.
What is Susan M Hendrickson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Susan M Hendrickson is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063591147 to Susan M Hendrickson?
The Susan M Hendrickson received its 1063591147 assignment from the Centers for Medicare & Medicaid Services on 2006-11-02.
As of what date was the information pertaining to Susan M Hendrickson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susan M Hendrickson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-06-20.