Michael James Tanguay in Waconia - Psychologist
Michael James Tanguay - NPI 1962404426
Michael James Tanguay is a Psychologist in Waconia, Minnesota. Michael James Tanguay practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Michael James Tanguay is 1962404426. The last update date is 2007-07-08.
Michael James Tanguay's current location address is 540 E 1st St, Waconia, Minnesota. You can contact this provider via phone number 9524424437 and fax number 9524423084. The mailing address for Michael James Tanguay is 540 E 1st St, Waconia, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael James Tanguay |
|---|---|
| Address | 540 E 1st St, Waconia, Minnesota |
| Phone Number | 9524424437 |
| Fax Number | 9524423084 |
| Sole Proprietor | X |
| Credentials | MA LP |
NPI Number Detail
| NPI Number | 1962404426 |
|---|---|
| Provider Enumeration Date | 2005-08-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 540 E 1st St |
|---|---|
| City | Waconia |
| State | Minnesota (MN) |
| Post Code | 553871601 |
| Phone Number | 9524424437 |
| Fax Number | 9524423084 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP0250 |
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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 |
|---|---|---|---|
| 591002 | MN | PREFERRED ONE | |
| 102536 | MN | U-CARE | |
| 6217253 | MN | UBH-MEDICA | |
| 8H285TA | MN | BLUECROSSBLUESHIELD | |
| HP19046 | MN | HEALTH PARTNERS |
Post Comment/ Review Below
What is the unique identification code assigned to Michael James Tanguay by the Centers for Medicare & Medicaid Services?
The Michael James Tanguay has been issued the NPI (National Provider Identifier) 1962404426. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michael James Tanguay is physically located?
The Michael James Tanguay is physically situated at the following address: 540 E 1St St, Waconia, MN, 553871601.
What is Michael James Tanguay's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael James Tanguay's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Michael James Tanguay receive its 1962404426 assignment from the Centers for Medicare & Medicaid Services?
The Michael James Tanguay was assigned its 1962404426 by the Centers for Medicare & Medicaid Services on 2005-08-15.
As of what date was the information pertaining to Michael James Tanguay, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael James Tanguay, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.