Blossom Towne Enterprises in Lake Elmo - Psychologist
Blossom Towne Enterprises - NPI 1336301894
Blossom Towne Enterprises is a Psychologist in Lake Elmo, Minnesota. Blossom Towne Enterprises practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Blossom Towne Enterprises is 1336301894. The last update date is 2008-06-26.
Blossom Towne Enterprises's current location address is 8615 Eagle Point Blvd, Lake Elmo, Minnesota. You can contact this provider via phone number 6512640444 and fax number 6512640447. The mailing address for Blossom Towne Enterprises is 8615 Eagle Point Blvd, Lake Elmo, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blossom Towne Enterprises |
|---|---|
| Address | 8615 Eagle Point Blvd, Lake Elmo, Minnesota |
| Phone Number | 6512640444 |
| Fax Number | 6512640447 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Blossom Sharon |
| Telephone Number | 6512640444 |
NPI Number Detail
| NPI Number | 1336301894 |
|---|---|
| Provider Enumeration Date | 2008-06-26 |
| Last Updated Date | 2008-06-26 |
Provider Mailing Address Detail
| Address | 8615 Eagle Point Blvd |
|---|---|
| City | Lake Elmo |
| State | Minnesota (MN) |
| Post Code | 550428628 |
| Phone Number | 6512640444 |
| Fax Number | 6512640447 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP-1196 |
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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 issued to Blossom Towne Enterprises by the Centers for Medicare & Medicaid Services?
The Blossom Towne Enterprises has been assigned the NPI (National Provider Identifier) 1336301894 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Blossom Towne Enterprises is located?
The Blossom Towne Enterprises is situated at the following address: 8615 Eagle Point Blvd, Lake Elmo, MN, 550428628.
What is Blossom Towne Enterprises's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Blossom Towne Enterprises is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336301894 to Blossom Towne Enterprises?
The Centers for Medicare & Medicaid Services originally issued the 1336301894 to Blossom Towne Enterprises on 2008-06-26.
When was the Blossom Towne Enterprises's information last updated?
The Blossom Towne Enterprises's information was last updated on 2008-06-26.