Paul Joseph Hildebrant in Spring Lake Park - Psychologist

Paul Joseph Hildebrant - NPI 1104903012

Paul Joseph Hildebrant is a Psychologist in Spring Lake Park, Minnesota. Paul Joseph Hildebrant practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Paul Joseph Hildebrant is 1104903012. The last update date is 2007-07-08.

Paul Joseph Hildebrant's current location address is 1485 81st Ave Ne, Spring Lake Park, Minnesota. You can contact this provider via phone number 7637803036. The mailing address for Paul Joseph Hildebrant is 1485 81st Ave Ne, Spring Lake Park, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Joseph Hildebrant
Address 1485 81st Ave Ne, Spring Lake Park, Minnesota
Phone Number 7637803036
Fax Number
Sole Proprietor Y
Credentials PH.D., L.P

NPI Number Detail

NPI Number 1104903012
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1485 81st Ave Ne
City Spring Lake Park
State Minnesota (MN)
Post Code 554322111
Phone Number 7637803036
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No LP 1400
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
7955550200 MN MEDICAL ASSISTANCE

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FAQs about Paul Joseph Hildebrant

What is the unique 10-digit identifier code assigned to Paul Joseph Hildebrant by the Centers for Medicare & Medicaid Services?

The Paul Joseph Hildebrant has been issued the NPI (National Provider Identifier) 1104903012 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Paul Joseph Hildebrant is located?

The Paul Joseph Hildebrant is situated at the following address: 1485 81St Ave Ne, Spring Lake Park, MN, 554322111.

What is Paul Joseph Hildebrant's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Paul Joseph Hildebrant's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1104903012 to Paul Joseph Hildebrant?

The Paul Joseph Hildebrant received its 1104903012 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.

When was the Paul Joseph Hildebrant's information last updated?

The Paul Joseph Hildebrant's information was last updated on 2007-07-08.

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