Mason Moore Consultants in St Louis Park - Psychologist
Mason Moore Consultants - NPI 1033275748
Mason Moore Consultants is a Psychologist in St Louis Park, Minnesota. Mason Moore Consultants practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mason Moore Consultants is 1033275748. The last update date is 2007-09-26.
Mason Moore Consultants's current location address is 5009 Excelsior Blvd Ste 136, St Louis Park, Minnesota. You can contact this provider via phone number 9529255343. The mailing address for Mason Moore Consultants is 5009 Excelsior Blvd Ste 136, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mason Moore Consultants |
|---|---|
| Address | 5009 Excelsior Blvd Ste 136, St Louis Park, Minnesota |
| Phone Number | 9529255343 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Moore Allison James |
| Credentials | PHD LP |
| Telephone Number | 9529255343 |
NPI Number Detail
| NPI Number | 1033275748 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2007-09-26 |
Provider Mailing Address Detail
| Address | 5009 Excelsior Blvd Ste 136 |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554163049 |
| Phone Number | 9529255343 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP2399 |
|
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 |
|---|---|---|---|
| 11934MO | MN | BCBS GROUP NUMBER | |
| 6109358 | MN | MEDICA ID |
Post Comment/ Review Below
What is the unique identification code assigned to Mason Moore Consultants by the Centers for Medicare & Medicaid Services?
The Mason Moore Consultants has been issued the NPI (National Provider Identifier) 1033275748. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mason Moore Consultants is physically located?
The Mason Moore Consultants is situated at the following address: 5009 Excelsior Blvd Ste 136, St Louis Park, MN 554163049.
What is Mason Moore Consultants's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mason Moore Consultants is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did Mason Moore Consultants receive its 1033275748 assignment from the Centers for Medicare & Medicaid Services?
The Mason Moore Consultants was assigned its 1033275748 on 2006-12-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Mason Moore Consultants most recently updated or revised?
The information pertaining to Mason Moore Consultants, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-26.
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