Melissa B Severance in Lake Elmo - Psychologist
Melissa B Severance - NPI 1598821217
Melissa B Severance is a Psychologist in Lake Elmo, Minnesota. Melissa B Severance practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Melissa B Severance is 1598821217. The last update date is 2007-07-08.
Melissa B Severance'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 Melissa B Severance is 11550 Stillwater Blvd N Ste 102, Lake Elmo, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa B Severance |
|---|---|
| Address | 11550 Stillwater Blvd N Ste 102, Lake Elmo, Minnesota |
| Phone Number | 6517773336 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MA LP |
NPI Number Detail
| NPI Number | 1598821217 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11550 Stillwater Blvd N Ste 102 |
|---|---|
| City | Lake Elmo |
| State | Minnesota (MN) |
| Post Code | 550428613 |
| Phone Number | 6517773336 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP3637 |
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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 |
|---|---|---|---|
| 41D05SE | MN | BCBS INDIVIDUAL PROVIDER | |
| 41D04SE | MN | BCBS GROUP NUMBER | |
| 6292882 | MN | MEDICA ID |
Post Comment/ Review Below
What is the unique identifier code issued to Melissa B Severance by the Centers for Medicare & Medicaid Services (CMS)?
The Melissa B Severance has been assigned the NPI (National Provider Identifier) 1598821217. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Melissa B Severance's facilities are situated?
The facilities of Melissa B Severance are physically located at the following address: 11550 Stillwater Blvd N Ste 102, Lake Elmo, MN, 550428613.
What is Melissa B Severance's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Melissa B Severance's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
When was the Melissa B Severance's 1598821217 issued?
The Melissa B Severance's 1598821217 was issued on 2006-12-28.
As of what date were the details pertaining to Melissa B Severance last refreshed?
The information related to the Melissa B Severance, including its address, specialty, and other relevant details, was last updated on 2007-07-08.