Maple Grove Counseling Center Pa in Maple Grove - Psychologist
Maple Grove Counseling Center Pa - NPI 1164496071
Maple Grove Counseling Center Pa is a Psychologist in Maple Grove, Minnesota. Maple Grove Counseling Center Pa practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Maple Grove Counseling Center Pa is 1164496071. The last update date is 2020-08-22.
Maple Grove Counseling Center Pa's current location address is 13700 83rd Way, Maple Grove, Minnesota. You can contact this provider via phone number 7634948699 and fax number 7634948797. The mailing address for Maple Grove Counseling Center Pa is 13700 83rd Way, Maple Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Maple Grove Counseling Center Pa |
|---|---|
| Address | 13700 83rd Way, Maple Grove, Minnesota |
| Phone Number | 7634948699 |
| Fax Number | 7634948797 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LICENSED P |
|---|---|
| Authorized Official Name | Messicci Ann Ardith |
| Credentials | MA LP |
| Telephone Number | 7634948699 |
NPI Number Detail
| NPI Number | 1164496071 |
|---|---|
| Provider Enumeration Date | 2006-02-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 13700 83rd Way |
|---|---|
| City | Maple Grove |
| State | Minnesota (MN) |
| Post Code | 553697015 |
| Phone Number | 7634948699 |
| Fax Number | 7634948797 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP0951 |
|
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 |
|---|---|---|---|
| 3H755ME | MN | BCBS | |
| 88297 | MN | ARAZ |
Post Comment/ Review Below
What is the unique identification code assigned to Maple Grove Counseling Center Pa by the Centers for Medicare & Medicaid Services?
The Maple Grove Counseling Center Pa has been issued the NPI (National Provider Identifier) 1164496071. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Maple Grove Counseling Center Pa is physically located?
The Maple Grove Counseling Center Pa is situated at the following address: 13700 83Rd Way, Maple Grove, MN 553697015.
What is Maple Grove Counseling Center Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Maple Grove Counseling Center Pa is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did the Maple Grove Counseling Center Pa receive the assignment of its 1164496071 from the Centers for Medicare & Medicaid Services?
The Maple Grove Counseling Center Pa was issued its 1164496071 by the Centers for Medicare & Medicaid Services on 2006-02-15.
As of what date were the details pertaining to Maple Grove Counseling Center Pa last refreshed?
The information related to the Maple Grove Counseling Center Pa, including its address, specialty, and other relevant details, was last updated on 2020-08-22.