Mckziel Clinic Inc in Shakopee - Psychologist
Mckziel Clinic Inc - NPI 1487794194
Mckziel Clinic Inc is a Psychologist in Shakopee, Minnesota. Mckziel Clinic Inc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mckziel Clinic Inc is 1487794194. The last update date is 2020-08-22.
Mckziel Clinic Inc's current location address is 287 Marschall Rd, Shakopee, Minnesota. You can contact this provider via phone number 9524457430 and fax number 9524457430. The mailing address for Mckziel Clinic Inc is 287 Marschall Rd, Shakopee, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mckziel Clinic Inc |
|---|---|
| Address | 287 Marschall Rd, Shakopee, Minnesota |
| Phone Number | 9524457430 |
| Fax Number | 9524457430 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mckowen John Creighton |
| Credentials | LP |
| Telephone Number | 9524457430 |
NPI Number Detail
| NPI Number | 1487794194 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 287 Marschall Rd |
|---|---|
| City | Shakopee |
| State | Minnesota (MN) |
| Post Code | 553791686 |
| Phone Number | 9524457430 |
| Fax Number | 9524457430 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP1413 |
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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 |
|---|---|---|---|
| 61-15251 | MN | UBH | |
| 30505MC | MN | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mckziel Clinic Inc by the Centers for Medicare & Medicaid Services?
The Mckziel Clinic Inc has been issued the NPI (National Provider Identifier) 1487794194 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mckziel Clinic Inc's facilities are situated?
The facilities of Mckziel Clinic Inc are physically located at the following address: 287 Marschall Rd, Shakopee, MN, 553791686.
What is Mckziel Clinic Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mckziel Clinic Inc's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
When was the Mckziel Clinic Inc's 1487794194 issued?
The Mckziel Clinic Inc's 1487794194 was issued on 2007-02-08.
When was the information pertaining to Mckziel Clinic Inc most recently updated or revised?
The details related to Mckziel Clinic Inc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.