Bryan Delvin is a Psychologist in Winona, Minnesota. Bryan Delvin practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Bryan Delvin is 1871574228. The last update date is 2018-11-28.
Bryan Delvin's current location address is 420 E Sarnia St, Winona, Minnesota. You can contact this provider via phone number 5074544341 and fax number 5074536267. The mailing address for Bryan Delvin is 420 E Sarnia St, Winona, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan Delvin |
|---|---|
| Address | 420 E Sarnia St, Winona, Minnesota |
| Phone Number | 5074544341 |
| Fax Number | 5074536267 |
| Sole Proprietor | N |
| Credentials | LP |
NPI Number Detail
| NPI Number | 1871574228 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2018-11-28 |
Provider Mailing Address Detail
| Address | 420 E Sarnia St |
|---|---|
| City | Winona |
| State | Minnesota (MN) |
| Post Code | 559876365 |
| Phone Number | 5074544341 |
| Fax Number | 5074536267 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP4618 |
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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 |
|---|---|---|---|
| 215872800 | MN | -- | |
| 140014 | MN | UCARE | |
| 23D21DE | MN | BCBS |
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What is the unique 10-digit identifier code issued to Bryan Delvin by the Centers for Medicare & Medicaid Services?
The Bryan Delvin has been assigned the NPI (National Provider Identifier) 1871574228 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Bryan Delvin's physical address?
The Bryan Delvin is physically located at 420 E Sarnia St, in the city of Winona, MN, with the postal code 559876365.
What is the Bryan Delvin's area of specialization and corresponding taxonomy classification?
The Bryan Delvin'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 Bryan Delvin receive the assignment of its 1871574228 from the Centers for Medicare & Medicaid Services?
The Bryan Delvin was issued its 1871574228 by the Centers for Medicare & Medicaid Services on 2005-11-10.
As of what date were the Bryan Delvin's details last updated?
The information pertaining to the Bryan Delvin, including its address, specialty, and other details, was most recently updated on 2018-11-28.