Mark R Thelen is a Psychologist in Monticello, Minnesota. Mark R Thelen practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mark R Thelen is 1568425908. The last update date is 2021-04-21.
Mark R Thelen's current location address is Po Box 102, Monticello, Minnesota. You can contact this provider via phone number 7633700243. The mailing address for Mark R Thelen is Po Box 102, Monticello, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark R Thelen |
|---|---|
| Address | Po Box 102, Monticello, Minnesota |
| Phone Number | 7633700243 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSYD LP LM |
NPI Number Detail
| NPI Number | 1568425908 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2021-04-21 |
Provider Mailing Address Detail
| Address | Po Box 102 |
|---|---|
| City | Monticello |
| State | Minnesota (MN) |
| Post Code | 553620102 |
| Phone Number | 7633700243 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP2992 |
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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 |
|---|---|---|---|
| 6118960 | UBH | ||
| 105008 | UCARE | ||
| HP27417 | HEALTH PARTNERS | ||
| 1023459 | MN | PREFERRED ONE | |
| 680007902 | RR MEDICARE | ||
| 704817300 | MN | -- | |
| 7H446TH | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark R Thelen by the Centers for Medicare & Medicaid Services?
The Mark R Thelen has been issued the NPI (National Provider Identifier) 1568425908, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark R Thelen?
The Mark R Thelen is situated at Po Box 102, in the city of Monticello, state of MN, with the zip code 553620102.
What is Mark R Thelen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark R Thelen's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1568425908 to Mark R Thelen?
The Mark R Thelen received its 1568425908 assignment from the Centers for Medicare & Medicaid Services on 2006-04-07.
When was the information regarding Mark R Thelen most recently updated?
The details pertaining to the Mark R Thelen, including its address, specialty, and other relevant information, were last refreshed on 2021-04-21.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY