Laurie Beth Mintz in Columbia - Psychologist
Laurie Beth Mintz - NPI 1417048190
Laurie Beth Mintz is a Psychologist in Columbia, Missouri. Laurie Beth Mintz practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Laurie Beth Mintz is 1417048190. The last update date is 2007-07-08.
Laurie Beth Mintz's current location address is 2804 Forum Blvd, Columbia, Missouri. You can contact this provider via phone number 5734465034 and fax number 5734465046. The mailing address for Laurie Beth Mintz is 2804 Forum Blvd, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laurie Beth Mintz |
|---|---|
| Address | 2804 Forum Blvd, Columbia, Missouri |
| Phone Number | 5734465034 |
| Fax Number | 5734465046 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1417048190 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2804 Forum Blvd |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 65203 |
| Phone Number | 5734465034 |
| Fax Number | 5734465046 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | R0294 |
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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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What is the unique identification code assigned to Laurie Beth Mintz by the Centers for Medicare & Medicaid Services?
The Laurie Beth Mintz has been issued the NPI (National Provider Identifier) 1417048190. 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 physical address where Laurie Beth Mintz is located?
The Laurie Beth Mintz is situated at the following address: 2804 Forum Blvd, Columbia, MO, 65203.
What is Laurie Beth Mintz's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Laurie Beth Mintz's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did Laurie Beth Mintz receive its 1417048190 assignment from the Centers for Medicare & Medicaid Services?
The Laurie Beth Mintz was assigned its 1417048190 on 2006-09-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Laurie Beth Mintz most recently updated or refreshed?
The details pertaining to the Laurie Beth Mintz, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.