Brian Koranda is a Psychologist in Fairmont, Minnesota. Brian Koranda practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Brian Koranda is 1932183092. The last update date is 2023-11-18.
Brian Koranda's current location address is 800 Medical Center Dr, Fairmont, Minnesota. You can contact this provider via phone number 5072388555. The mailing address for Brian Koranda is 800 Medical Center Dr, Fairmont, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Koranda |
|---|---|
| Address | 800 Medical Center Dr, Fairmont, Minnesota |
| Phone Number | 5072388555 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MA LP |
NPI Number Detail
| NPI Number | 1932183092 |
|---|---|
| Provider Enumeration Date | 2005-12-02 |
| Last Updated Date | 2023-11-18 |
Provider Mailing Address Detail
| Address | 800 Medical Center Dr |
|---|---|
| City | Fairmont |
| State | Minnesota (MN) |
| Post Code | 560314575 |
| Phone Number | 5072388555 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP1252 |
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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 |
|---|---|---|---|
| 099T7KO | MN | BLUE CROSS | |
| HP28450 | MN | HEALTH PARTNERS | |
| 7430 | MN | AVERA | |
| A013 | MN | CHAMPUS | |
| MH904008723 | MN | PREFERRED ONE |
Post Comment/ Review Below
What is the unique identification code assigned to Brian Koranda by the Centers for Medicare & Medicaid Services?
The Brian Koranda has been issued the NPI (National Provider Identifier) 1932183092. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Brian Koranda's physical address?
The Brian Koranda is physically located at 800 Medical Center Dr, in the city of Fairmont, MN, with the postal code 560314575.
What is Brian Koranda's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brian Koranda's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
When did the Brian Koranda receive its 1932183092?
The Brian Koranda was issued its 1932183092 on 2005-12-02, which is the date when the organization was assigned this unique identifier.
As of what date were the Brian Koranda's details last updated?
The information pertaining to the Brian Koranda, including its address, specialty, and other details, was most recently updated on 2023-11-18.
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