Joel T Bakken in Moorhead - Psychologist

Joel T Bakken - NPI 1497849509

Joel T Bakken is a Psychologist in Moorhead, Minnesota. Joel T Bakken practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Joel T Bakken is 1497849509. The last update date is 2008-10-14.

Joel T Bakken's current location address is 891 Belsly Blvd, Moorhead, Minnesota. You can contact this provider via phone number 2182874338 and fax number 2182875928. The mailing address for Joel T Bakken is 891 Belsly Blvd, Moorhead, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Joel T Bakken
Address 891 Belsly Blvd, Moorhead, Minnesota
Phone Number 2182874338
Fax Number 2182875928
Sole Proprietor N
Credentials MS LP

NPI Number Detail

NPI Number 1497849509
Provider Enumeration Date 2006-10-03
Last Updated Date 2008-10-14

Provider Mailing Address Detail

Address 891 Belsly Blvd
City Moorhead
State Minnesota (MN)
Post Code 565605055
Phone Number 2182874338
Fax Number 2182875928

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No LP0872
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
448852100 MN --
140L6BA MN BLUE CROSS

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FAQs about Joel T Bakken

What is the unique 10-digit identification code issued to Joel T Bakken by the Centers for Medicare & Medicaid Services?

The Joel T Bakken has been assigned the NPI (National Provider Identifier) 1497849509 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Joel T Bakken?

The Joel T Bakken is situated at 891 Belsly Blvd, in the city of Moorhead, state of MN, with the zip code 565605055.

What is the Joel T Bakken's area of specialization and corresponding taxonomy classification?

The Joel T Bakken'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 1497849509 assigned to Joel T Bakken?

The Joel T Bakken was issued its 1497849509 on 2006-10-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Joel T Bakken most recently updated?

The details pertaining to the Joel T Bakken, including its address, specialty, and other relevant information, were last refreshed on 2008-10-14.

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