Clinton Vanlith is a Psychologist in Fridley, Minnesota. Clinton Vanlith practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Clinton Vanlith is 1306911821. The last update date is 2022-07-21.
Clinton Vanlith's current location address is 500 Osborne Rd Ne Ste 255, Fridley, Minnesota. You can contact this provider via phone number 7637866011 and fax number 7632362505. The mailing address for Clinton Vanlith is 500 Osborne Rd Ne Ste 255, Fridley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clinton Vanlith |
|---|---|
| Address | 500 Osborne Rd Ne Ste 255, Fridley, Minnesota |
| Phone Number | 7637866011 |
| Fax Number | 7632362505 |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1306911821 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 500 Osborne Rd Ne Ste 255 |
|---|---|
| City | Fridley |
| State | Minnesota (MN) |
| Post Code | 554322768 |
| Phone Number | 7637866011 |
| Fax Number | 7632362505 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 315 |
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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 |
|---|---|---|---|
| LP3858 | MN | MN BOARD OF PSYCHOLOGY STATE L | |
| 10518 | ND | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Clinton Vanlith by the Centers for Medicare & Medicaid Services (CMS)?
The Clinton Vanlith has been assigned the NPI (National Provider Identifier) 1306911821. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Clinton Vanlith is physically located?
The Clinton Vanlith is physically situated at the following address: 500 Osborne Rd Ne Ste 255, Fridley, MN, 554322768.
What is Clinton Vanlith's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Clinton Vanlith is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date was the 1306911821 assigned to Clinton Vanlith?
The Clinton Vanlith was issued its 1306911821 on 2006-11-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Clinton Vanlith's details last updated?
The information pertaining to the Clinton Vanlith, including its address, specialty, and other details, was most recently updated on 2022-07-21.