Randy James Wills in North Mankato - Psychologist
Randy James Wills - NPI 1508941931
Randy James Wills is a Psychologist in North Mankato, Minnesota. Randy James Wills practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Randy James Wills is 1508941931. The last update date is 2008-09-25.
Randy James Wills's current location address is 2346 Abbywood Ln, North Mankato, Minnesota. You can contact this provider via phone number 5073512920 and fax number 5073852090. The mailing address for Randy James Wills is 2346 Abbywood Ln, North Mankato, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randy James Wills |
|---|---|
| Address | 2346 Abbywood Ln, North Mankato, Minnesota |
| Phone Number | 5073512920 |
| Fax Number | 5073852090 |
| Sole Proprietor | Y |
| Credentials | MA LP |
NPI Number Detail
| NPI Number | 1508941931 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2008-09-25 |
Provider Mailing Address Detail
| Address | 2346 Abbywood Ln |
|---|---|
| City | North Mankato |
| State | Minnesota (MN) |
| Post Code | 560034245 |
| Phone Number | 5073512920 |
| Fax Number | 5073852090 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP0388 |
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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 |
|---|---|---|---|
| 58528WI | MN | BLUE CROSS OF MN | |
| 120450 | MN | BHP | |
| 720851100 | MN | -- | |
| K535 | MN | UCARE |
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What is the unique 10-digit identifier code issued to Randy James Wills by the Centers for Medicare & Medicaid Services?
The Randy James Wills has been assigned the NPI (National Provider Identifier) 1508941931 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Randy James Wills's physical address?
The Randy James Wills is physically located at 2346 Abbywood Ln, in the city of North Mankato, MN, with the postal code 560034245.
What is the Randy James Wills's specialty and taxonomy code?
The Randy James Wills's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
When was the Randy James Wills's 1508941931 issued?
The Randy James Wills's 1508941931 was issued on 2006-10-25.
When was the information pertaining to Randy James Wills most recently updated or revised?
The details related to Randy James Wills, including its address, specialty, and other relevant information, were last updated or revised on 2008-09-25.
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