Sanford Clinic North in Moorhead - Psychologist
Sanford Clinic North - NPI 1174556591
Sanford Clinic North is a Psychologist in Moorhead, Minnesota. Sanford Clinic North practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Sanford Clinic North is 1174556591. The last update date is 2011-11-02.
Sanford Clinic North's current location address is 1301 8th St S, Moorhead, Minnesota. You can contact this provider via phone number 7012343200 and fax number 7012343286. The mailing address for Sanford Clinic North is 1301 8th St S, Moorhead, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sanford Clinic North |
|---|---|
| Address | 1301 8th St S, Moorhead, Minnesota |
| Phone Number | 7012343200 |
| Fax Number | 7012343286 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP |
|---|---|
| Authorized Official Name | Leclerc K Martha |
| Telephone Number | 7012346248 |
NPI Number Detail
| NPI Number | 1174556591 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2011-11-02 |
Provider Mailing Address Detail
| Address | 1301 8th St S |
|---|---|
| City | Moorhead |
| State | Minnesota (MN) |
| Post Code | 565603604 |
| Phone Number | 7012343200 |
| Fax Number | 7012343286 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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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 |
|---|---|---|---|
| 907519400 | MN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Sanford Clinic North?
The Sanford Clinic North has been issued the NPI (National Provider Identifier) 1174556591 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Sanford Clinic North located?
The Sanford Clinic North is located at 1301 8Th St S, Moorhead, MN 565603604.
What is Sanford Clinic North's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sanford Clinic North is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Sanford Clinic North receive its 1174556591 assignment from the Centers for Medicare & Medicaid Services?
The Sanford Clinic North was assigned its 1174556591 by the Centers for Medicare & Medicaid Services on 2006-07-09.
When was the information regarding Sanford Clinic North, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Sanford Clinic North, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-11-02.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY