Mary Jane Whiteside in Red Wing - Psychologist
Mary Jane Whiteside - NPI 1083780829
Mary Jane Whiteside is a Psychologist in Red Wing, Minnesota. Mary Jane Whiteside practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mary Jane Whiteside is 1083780829. The last update date is 2007-07-08.
Mary Jane Whiteside's current location address is 217 Plum St, Red Wing, Minnesota. You can contact this provider via phone number 6513884302 and fax number 6513859052. The mailing address for Mary Jane Whiteside is 217 Plum St, Red Wing, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jane Whiteside |
|---|---|
| Address | 217 Plum St, Red Wing, Minnesota |
| Phone Number | 6513884302 |
| Fax Number | 6513859052 |
| Sole Proprietor | Y |
| Credentials | PHD, LP |
NPI Number Detail
| NPI Number | 1083780829 |
|---|---|
| Provider Enumeration Date | 2006-11-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 217 Plum St |
|---|---|
| City | Red Wing |
| State | Minnesota (MN) |
| Post Code | 550662351 |
| Phone Number | 6513884302 |
| Fax Number | 6513859052 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP3361 |
|
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 |
|---|---|---|---|
| 167752 | MN | UCARE | |
| 108480 | MN | HEALTHPARTNERS | |
| 132T8WH | MN | BLUECROSS BLUESHIELD(IND) | |
| 1027089 | MN | PREFERREDONE | |
| 132T7WH | MN | BLUECROSS BLUESHIELD(GRP) | |
| 61-68825 | MN | UNITED BEHAVIORAL HEALTH | |
| (NO NUMBER) | MN | MMSI (MAYO) |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary Jane Whiteside by the Centers for Medicare & Medicaid Services?
The Mary Jane Whiteside has been issued the NPI (National Provider Identifier) 1083780829, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mary Jane Whiteside is physically located?
The Mary Jane Whiteside is situated at the following address: 217 Plum St, Red Wing, MN 550662351.
What is Mary Jane Whiteside's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Jane Whiteside's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083780829 to Mary Jane Whiteside?
The Mary Jane Whiteside received its 1083780829 assignment from the Centers for Medicare & Medicaid Services on 2006-11-24.
As of what date were the details related to Mary Jane Whiteside most recently updated or revised?
The information pertaining to Mary Jane Whiteside, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1881692291
Address: 710 Lawrence Expy Dept 190, Santa Clara, CA
NPI Number: 1568460681
Address: 830 S. Addison Avenue, Villa Park, IL