Gary L Dickinson in Hendricks - Psychologist
Gary L Dickinson - NPI 1093760233
Gary L Dickinson is a Psychologist in Hendricks, Minnesota. Gary L Dickinson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Gary L Dickinson is 1093760233. The last update date is 2012-02-29.
Gary L Dickinson's current location address is 791 E Lake Hendricks Dr, Hendricks, Minnesota. You can contact this provider via phone number 6052717690 and fax number 6054791349. The mailing address for Gary L Dickinson is 791 E Lake Hendricks Dr, Hendricks, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary L Dickinson |
|---|---|
| Address | 791 E Lake Hendricks Dr, Hendricks, Minnesota |
| Phone Number | 6052717690 |
| Fax Number | 6054791349 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1093760233 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2012-02-29 |
Provider Mailing Address Detail
| Address | 791 E Lake Hendricks Dr |
|---|---|
| City | Hendricks |
| State | Minnesota (MN) |
| Post Code | 561361204 |
| Phone Number | 6052717690 |
| Fax Number | 6054791349 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 231 |
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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 |
|---|---|---|---|
| 6551103 | SD | -- | |
| 4993550 | SD | WELLMARK BLUECROSS | |
| 893248400 | MN | -- |
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What is the unique 10-digit identification code issued to Gary L Dickinson by the Centers for Medicare & Medicaid Services?
The Gary L Dickinson has been assigned the NPI (National Provider Identifier) 1093760233 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Gary L Dickinson?
The Gary L Dickinson is situated at 791 E Lake Hendricks Dr, in the city of Hendricks, state of MN, with the zip code 561361204.
What is Gary L Dickinson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gary L Dickinson is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
When did Gary L Dickinson receive its 1093760233 assignment?
The Gary L Dickinson was assigned its 1093760233 on 2006-05-24, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Gary L Dickinson last refreshed?
The information related to the Gary L Dickinson, including its address, specialty, and other relevant details, was last updated on 2012-02-29.
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