Autumn E Braddock in Rochester - Psychologist
Autumn E Braddock - NPI 1871792689
Autumn E Braddock is a Psychologist in Rochester, Minnesota. Autumn E Braddock practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Autumn E Braddock is 1871792689. The last update date is 2008-03-13.
Autumn E Braddock's current location address is 200 1st St Sw, Rochester, Minnesota. You can contact this provider via phone number 5072842511. The mailing address for Autumn E Braddock is 200 1st St Sw, Rochester, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Autumn E Braddock |
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Address | 200 1st St Sw, Rochester, Minnesota |
Phone Number | 5072842511 |
Fax Number | |
Sole Proprietor | N |
Credentials | PHD |
NPI Number Detail
NPI Number | 1871792689 |
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Provider Enumeration Date | 2007-07-12 |
Last Updated Date | 2008-03-13 |
Provider Mailing Address Detail
Address | 200 1st St Sw |
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City | Rochester |
State | Minnesota (MN) |
Post Code | 559050001 |
Phone Number | 5072842511 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | LP4838 |
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 |
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P00448266 | MN | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Autumn E Braddock by the Centers for Medicare & Medicaid Services?
The Autumn E Braddock has been assigned the NPI (National Provider Identifier) 1871792689. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Autumn E Braddock's facilities are situated?
The facilities of Autumn E Braddock are physically located at the following address: 200 1St St Sw, Rochester, MN, 559050001.
What is Autumn E Braddock's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Autumn E Braddock is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
When did the Autumn E Braddock receive its 1871792689?
The Autumn E Braddock was issued its 1871792689 on 2007-07-12, which is the date when the organization was assigned this unique identifier.
When was the information related to Autumn E Braddock most recently updated or refreshed?
The details pertaining to the Autumn E Braddock, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-13.