Beverly Jean Caruso in St Louis Park - Psychologist
Beverly Jean Caruso - NPI 1336256916
Beverly Jean Caruso is a Psychologist in St Louis Park, Minnesota. Beverly Jean Caruso practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Beverly Jean Caruso is 1336256916. The last update date is 2007-07-08.
Beverly Jean Caruso's current location address is 2829 Inglewood Ave South, St Louis Park, Minnesota. You can contact this provider via phone number 9529206568 and fax number 9529205891. The mailing address for Beverly Jean Caruso is 2829 Inglewood Ave South, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly Jean Caruso |
|---|---|
| Address | 2829 Inglewood Ave South, St Louis Park, Minnesota |
| Phone Number | 9529206568 |
| Fax Number | 9529205891 |
| Sole Proprietor | N |
| Credentials | LICENSED I |
NPI Number Detail
| NPI Number | 1336256916 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2829 Inglewood Ave South |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554164111 |
| Phone Number | 9529206568 |
| Fax Number | 9529205891 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 479 |
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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 |
|---|---|---|---|
| 469 | MN | LICENSE SOCIAL WORKER |
Post Comment/ Review Below
What is the Beverly Jean Caruso's unique identification number?
The Beverly Jean Caruso has been assigned the NPI (National Provider Identifier) Number 1336256916 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Beverly Jean Caruso is physically located?
The Beverly Jean Caruso is physically situated at the following address: 2829 Inglewood Ave South, St Louis Park, MN, 554164111.
What is Beverly Jean Caruso's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Beverly Jean Caruso's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
When did the Beverly Jean Caruso receive its 1336256916?
The Beverly Jean Caruso was issued its 1336256916 on 2006-08-23, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Beverly Jean Caruso, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Beverly Jean Caruso, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.