Gail Rose Maudal in Little Canada - Psychologist
Gail Rose Maudal - NPI 1669640983
Gail Rose Maudal is a Psychologist in Little Canada, Minnesota. Gail Rose Maudal practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Gail Rose Maudal is 1669640983. The last update date is 2008-02-20.
Gail Rose Maudal's current location address is 2625 Edgerton St, Little Canada, Minnesota. You can contact this provider via phone number 6514841544 and fax number 6514151337. The mailing address for Gail Rose Maudal is 2625 Edgerton St, Little Canada, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gail Rose Maudal |
|---|---|
| Address | 2625 Edgerton St, Little Canada, Minnesota |
| Phone Number | 6514841544 |
| Fax Number | 6514151337 |
| Sole Proprietor | N |
| Credentials | PH.D., L.P |
NPI Number Detail
| NPI Number | 1669640983 |
|---|---|
| Provider Enumeration Date | 2008-02-20 |
| Last Updated Date | 2008-02-20 |
Provider Mailing Address Detail
| Address | 2625 Edgerton St |
|---|---|
| City | Little Canada |
| State | Minnesota (MN) |
| Post Code | 551171620 |
| Phone Number | 6514841544 |
| Fax Number | 6514151337 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP1096 |
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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 identification code assigned to Gail Rose Maudal by the Centers for Medicare & Medicaid Services?
The Gail Rose Maudal has been issued the NPI (National Provider Identifier) 1669640983. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gail Rose Maudal's physical address?
The Gail Rose Maudal is physically located at 2625 Edgerton St, in the city of Little Canada, MN, with the postal code 551171620.
What is the Gail Rose Maudal's area of specialization and corresponding taxonomy classification?
The Gail Rose Maudal's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1669640983 assigned to Gail Rose Maudal?
The Gail Rose Maudal was issued its 1669640983 on 2008-02-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Gail Rose Maudal most recently updated or revised?
The details related to Gail Rose Maudal, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-20.