Be Somebody Inc is a Psychologist in Lake Elmo, Minnesota. Be Somebody Inc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Be Somebody Inc is 1073679791. The last update date is 2007-09-25.
Be Somebody Inc's current location address is 11550 Stillwater Blvd N Ste 102, Lake Elmo, Minnesota. You can contact this provider via phone number 6517773336. The mailing address for Be Somebody Inc is 11550 Stillwater Blvd N Ste 102, Lake Elmo, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Be Somebody Inc |
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Address | 11550 Stillwater Blvd N Ste 102, Lake Elmo, Minnesota |
Phone Number | 6517773336 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Severance B Melissa |
Credentials | MA LP |
Telephone Number | 6517773336 |
NPI Number Detail
NPI Number | 1073679791 |
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Provider Enumeration Date | 2006-12-28 |
Last Updated Date | 2007-09-25 |
Provider Mailing Address Detail
Address | 11550 Stillwater Blvd N Ste 102 |
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City | Lake Elmo |
State | Minnesota (MN) |
Post Code | 550428613 |
Phone Number | 6517773336 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | LP3637 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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41D04SE | MN | BCBS GROUP NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Be Somebody Inc by the Centers for Medicare & Medicaid Services?
The Be Somebody Inc has been assigned the NPI (National Provider Identifier) 1073679791 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Be Somebody Inc's facilities are geographically located?
The facilities of Be Somebody Inc are physically situated at the following location: 11550 Stillwater Blvd N Ste 102, Lake Elmo, MN, 550428613.
What is the area of specialization for Be Somebody Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Be Somebody Inc is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
When did Be Somebody Inc receive its 1073679791 assignment?
The Be Somebody Inc was assigned its 1073679791 on 2006-12-28, which is the date when this unique identifier was issued to the organization.
When was the information regarding Be Somebody Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Be Somebody Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-09-25.