Thomas Michael Graske in Shoreview - Psychologist
Thomas Michael Graske - NPI 1679649602
Thomas Michael Graske is a Psychologist in Shoreview, Minnesota. Thomas Michael Graske practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Thomas Michael Graske is 1679649602. The last update date is 2007-07-08.
Thomas Michael Graske's current location address is 521 Tanglewood Drive, Shoreview, Minnesota. You can contact this provider via phone number 7637531785 and fax number 7637531753. The mailing address for Thomas Michael Graske is 521 Tanglewood Drive, Shoreview, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Michael Graske |
|---|---|
| Address | 521 Tanglewood Drive, Shoreview, Minnesota |
| Phone Number | 7637531785 |
| Fax Number | 7637531753 |
| Sole Proprietor | N |
| Credentials | MA LP CSAT |
NPI Number Detail
| NPI Number | 1679649602 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 521 Tanglewood Drive |
|---|---|
| City | Shoreview |
| State | Minnesota (MN) |
| Post Code | 551262016 |
| Phone Number | 7637531785 |
| Fax Number | 7637531753 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP3334 |
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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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What is the unique identifier code issued to Thomas Michael Graske by the Centers for Medicare & Medicaid Services (CMS)?
The Thomas Michael Graske has been assigned the NPI (National Provider Identifier) 1679649602. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Thomas Michael Graske?
The Thomas Michael Graske is situated at 521 Tanglewood Drive, in the city of Shoreview, state of MN, with the zip code 551262016.
What is the Thomas Michael Graske's area of specialization and corresponding taxonomy classification?
The Thomas Michael Graske's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Thomas Michael Graske receive the assignment of its 1679649602 from the Centers for Medicare & Medicaid Services?
The Thomas Michael Graske was issued its 1679649602 by the Centers for Medicare & Medicaid Services on 2006-11-28.
When was the information related to Thomas Michael Graske most recently updated or refreshed?
The details pertaining to the Thomas Michael Graske, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.