Paul John Thinesen in Long Lake - Psychologist
Paul John Thinesen - NPI 1982774352
Paul John Thinesen is a Psychologist in Long Lake, Minnesota. Paul John Thinesen practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Paul John Thinesen is 1982774352. The last update date is 2010-05-18.
Paul John Thinesen's current location address is 2565 Morningside Rd, Long Lake, Minnesota. You can contact this provider via phone number 6512630763. The mailing address for Paul John Thinesen is 2565 Morningside Rd, Long Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Paul John Thinesen |
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Address | 2565 Morningside Rd, Long Lake, Minnesota |
Phone Number | 6512630763 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MA LP BCBA |
NPI Number Detail
NPI Number | 1982774352 |
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Provider Enumeration Date | 2006-11-09 |
Last Updated Date | 2010-05-18 |
Provider Mailing Address Detail
Address | 2565 Morningside Rd |
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City | Long Lake |
State | Minnesota (MN) |
Post Code | 553569109 |
Phone Number | 6512630763 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | 762 |
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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6190806 | MN | MEDICA | |
84G16TH | MN | BCBS | |
191308 | MN | VALUEOPTIONS ID | |
232850000 | MN | -- |
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What is the unique 10-digit identifier code assigned to Paul John Thinesen by the Centers for Medicare & Medicaid Services?
The Paul John Thinesen has been issued the NPI (National Provider Identifier) 1982774352 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Paul John Thinesen is physically located?
The Paul John Thinesen is physically situated at the following address: 2565 Morningside Rd, Long Lake, MN, 553569109.
What is Paul John Thinesen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Paul John Thinesen is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1982774352 to Paul John Thinesen?
The Paul John Thinesen received its 1982774352 assignment from the Centers for Medicare & Medicaid Services on 2006-11-09.
When was the information pertaining to Paul John Thinesen most recently updated or revised?
The details related to Paul John Thinesen, including its address, specialty, and other relevant information, were last updated or revised on 2010-05-18.