David Holtan Moll in Owatonna - Psychologist
David Holtan Moll - NPI 1124117544
David Holtan Moll is a Psychologist in Owatonna, Minnesota. David Holtan Moll practices all healthcare services and medical treatments related to Psychologist. The NPI Number for David Holtan Moll is 1124117544. The last update date is 2021-02-15.
David Holtan Moll's current location address is 610 Florence Ave, Owatonna, Minnesota. You can contact this provider via phone number 5074512630 and fax number 5074558133. The mailing address for David Holtan Moll is 610 Florence Ave, Owatonna, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Holtan Moll |
|---|---|
| Address | 610 Florence Ave, Owatonna, Minnesota |
| Phone Number | 5074512630 |
| Fax Number | 5074558133 |
| Sole Proprietor | N |
| Credentials | MS, LP |
NPI Number Detail
| NPI Number | 1124117544 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2021-02-15 |
Provider Mailing Address Detail
| Address | 610 Florence Ave |
|---|---|
| City | Owatonna |
| State | Minnesota (MN) |
| Post Code | 550604704 |
| Phone Number | 5074512630 |
| Fax Number | 5074558133 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP 4859 |
|
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 |
|---|---|---|---|
| 793323100 | MN | -- | |
| 62-20365 | MN | UNITED BEHAVIORAL HEALTH | |
| HP27427 | MN | HEALTH PARTNERS | |
| 126989 | MN | UCARE | |
| 15G19MO | MN | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to David Holtan Moll by the Centers for Medicare & Medicaid Services?
The David Holtan Moll has been assigned the NPI (National Provider Identifier) 1124117544. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where David Holtan Moll's facilities are geographically located?
The facilities of David Holtan Moll are physically situated at the following location: 610 Florence Ave, Owatonna, MN, 550604704.
What is David Holtan Moll's specialized field of practice, and what is the corresponding taxonomy classification code?
The David Holtan Moll's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did David Holtan Moll receive its 1124117544 assignment from the Centers for Medicare & Medicaid Services?
The David Holtan Moll was assigned its 1124117544 on 2006-10-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to David Holtan Moll most recently updated or revised?
The information pertaining to David Holtan Moll, including its address, specialty, and other relevant details, was last updated or revised on 2021-02-15.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN