Bruce Eisenmenger in Oakdale - Psychologist
Bruce Eisenmenger - NPI 1457370256
Bruce Eisenmenger is a Psychologist in Oakdale, Minnesota. Bruce Eisenmenger practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Bruce Eisenmenger is 1457370256. The last update date is 2017-10-19.
Bruce Eisenmenger's current location address is 7066 Stillwater Blvd N, Oakdale, Minnesota. You can contact this provider via phone number 6517775222 and fax number 6512515111. The mailing address for Bruce Eisenmenger is 7066 Stillwater Blvd N, Oakdale, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Eisenmenger |
|---|---|
| Address | 7066 Stillwater Blvd N, Oakdale, Minnesota |
| Phone Number | 6517775222 |
| Fax Number | 6512515111 |
| Sole Proprietor | N |
| Credentials | M.A., LP |
NPI Number Detail
| NPI Number | 1457370256 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2017-10-19 |
Provider Mailing Address Detail
| Address | 7066 Stillwater Blvd N |
|---|---|
| City | Oakdale |
| State | Minnesota (MN) |
| Post Code | 551283937 |
| Phone Number | 6517775222 |
| Fax Number | 6512515111 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1882 |
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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 |
|---|---|---|---|
| 32Q54EI | MN | BCBS | |
| 106264 | MN | UC | |
| 1015029 | MN | P1 | |
| 133865 | MN | CP | |
| 18510 | MN | HP | |
| 62-01186 | MN | UBH | |
| 729325900 | MN | -- |
Post Comment/ Review Below
What is the Bruce Eisenmenger's 1457370256?
The Bruce Eisenmenger's NPI (National Provider Identifier) Number is 1457370256. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Bruce Eisenmenger?
The Bruce Eisenmenger is physically situated at 7066 Stillwater Blvd N, in the city of Oakdale, state of MN, with the postal code 551283937.
What is Bruce Eisenmenger's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bruce Eisenmenger's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
When did Bruce Eisenmenger receive its 1457370256 assignment?
The Bruce Eisenmenger was assigned its 1457370256 on 2006-07-19, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Bruce Eisenmenger most recently updated or revised?
The information pertaining to Bruce Eisenmenger, including its address, specialty, and other relevant details, was last updated or revised on 2017-10-19.
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