Jill Stephens is a Psychologist in Elk River, Minnesota. Jill Stephens practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jill Stephens is 1013073899. The last update date is 2023-02-28.
Jill Stephens's current location address is 11070 183rd Cir Nw Ste C, Elk River, Minnesota. You can contact this provider via phone number 7636335111 and fax number 7636335112. The mailing address for Jill Stephens is 11070 183rd Cir Nw Ste C, Elk River, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Stephens |
|---|---|
| Address | 11070 183rd Cir Nw Ste C, Elk River, Minnesota |
| Phone Number | 7636335111 |
| Fax Number | 7636335112 |
| Sole Proprietor | N |
| Credentials | LP |
NPI Number Detail
| NPI Number | 1013073899 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2023-02-28 |
Provider Mailing Address Detail
| Address | 11070 183rd Cir Nw Ste C |
|---|---|
| City | Elk River |
| State | Minnesota (MN) |
| Post Code | 553303701 |
| Phone Number | 7636335111 |
| Fax Number | 7636335112 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP2602 |
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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 |
|---|---|---|---|
| 14772000 | MN | MEDICAL ASSISTANCE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jill Stephens by the Centers for Medicare & Medicaid Services?
The Jill Stephens has been issued the NPI (National Provider Identifier) 1013073899 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jill Stephens's facilities are situated?
The facilities of Jill Stephens are physically located at the following address: 11070 183Rd Cir Nw Ste C, Elk River, MN, 553303701.
What is Jill Stephens's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jill Stephens is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013073899 to Jill Stephens?
The Centers for Medicare & Medicaid Services originally issued the 1013073899 to Jill Stephens on 2006-12-28.
As of what date was the information pertaining to Jill Stephens, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jill Stephens, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-02-28.
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