Paul Gronneberg is a Psychologist in Mankato, Minnesota. Paul Gronneberg practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Paul Gronneberg is 1639178049. The last update date is 2007-07-08.
Paul Gronneberg's current location address is 730 S Front St, Mankato, Minnesota. You can contact this provider via phone number 5073873777 and fax number 5073441726. The mailing address for Paul Gronneberg is 730 S Front St, Mankato, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Gronneberg |
|---|---|
| Address | 730 S Front St, Mankato, Minnesota |
| Phone Number | 5073873777 |
| Fax Number | 5073441726 |
| Sole Proprietor | X |
| Credentials | M.A., L.P. |
NPI Number Detail
| NPI Number | 1639178049 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 730 S Front St |
|---|---|
| City | Mankato |
| State | Minnesota (MN) |
| Post Code | 560013803 |
| Phone Number | 5073873777 |
| Fax Number | 5073441726 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP0728 |
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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 |
|---|---|---|---|
| 115278 | MN | UCARE | |
| 6162711 | MN | UNITED BEHAVIORAL HEALTH | |
| 33P34GR | MN | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Paul Gronneberg by the Centers for Medicare & Medicaid Services?
The Paul Gronneberg has been assigned the NPI (National Provider Identifier) 1639178049 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Paul Gronneberg is physically located?
The Paul Gronneberg is physically situated at the following address: 730 S Front St, Mankato, MN, 560013803.
What is Paul Gronneberg's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Paul Gronneberg 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 1639178049 to Paul Gronneberg?
The Centers for Medicare & Medicaid Services originally issued the 1639178049 to Paul Gronneberg on 2005-07-18.
As of what date was the information regarding Paul Gronneberg, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Paul Gronneberg, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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