Dennis Lee Flom in Golden Valley - Psychologist
Dennis Lee Flom - NPI 1114087236
Dennis Lee Flom is a Psychologist in Golden Valley, Minnesota. Dennis Lee Flom practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Dennis Lee Flom is 1114087236. The last update date is 2007-07-08.
Dennis Lee Flom's current location address is 1520 Xenia Ave N, Golden Valley, Minnesota. You can contact this provider via phone number 7635448882 and fax number 7635459807. The mailing address for Dennis Lee Flom is 1520 Xenia Ave N, Golden Valley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dennis Lee Flom |
|---|---|
| Address | 1520 Xenia Ave N, Golden Valley, Minnesota |
| Phone Number | 7635448882 |
| Fax Number | 7635459807 |
| Sole Proprietor | N |
| Credentials | MA |
NPI Number Detail
| NPI Number | 1114087236 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1520 Xenia Ave N |
|---|---|
| City | Golden Valley |
| State | Minnesota (MN) |
| Post Code | 554224433 |
| Phone Number | 7635448882 |
| Fax Number | 7635459807 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP3777 |
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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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What is the unique 10-digit identifier code assigned to Dennis Lee Flom by the Centers for Medicare & Medicaid Services?
The Dennis Lee Flom has been issued the NPI (National Provider Identifier) 1114087236 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Dennis Lee Flom?
The Dennis Lee Flom is situated at 1520 Xenia Ave N, in the city of Golden Valley, state of MN, with the zip code 554224433.
What is Dennis Lee Flom's area of expertise and its corresponding taxonomy classification?
The Dennis Lee Flom's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114087236 to Dennis Lee Flom?
The Centers for Medicare & Medicaid Services originally issued the 1114087236 to Dennis Lee Flom on 2006-12-11.
When was the Dennis Lee Flom's information last updated?
The Dennis Lee Flom's information was last updated on 2007-07-08.
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