George Lorne Tetreault in Brainerd - Clinical
George Lorne Tetreault - NPI 1306940333
George Lorne Tetreault is a Clinical in Brainerd, Minnesota. George Lorne Tetreault practices all healthcare services and medical treatments related to Clinical. The NPI Number for George Lorne Tetreault is 1306940333. The last update date is 2022-11-08.
George Lorne Tetreault's current location address is 823 Maple St, Brainerd, Minnesota. You can contact this provider via phone number 8333160698. The mailing address for George Lorne Tetreault is 823 Maple St, Brainerd, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | George Lorne Tetreault |
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Address | 823 Maple St, Brainerd, Minnesota |
Phone Number | 8333160698 |
Fax Number | |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1306940333 |
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Provider Enumeration Date | 2006-09-11 |
Last Updated Date | 2022-11-08 |
Provider Mailing Address Detail
Address | 823 Maple St |
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City | Brainerd |
State | Minnesota (MN) |
Post Code | 564013770 |
Phone Number | 8333160698 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | LP2766 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1013904051 | MN | -- |
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What is the unique identification code assigned to George Lorne Tetreault by the Centers for Medicare & Medicaid Services?
The George Lorne Tetreault has been issued the NPI (National Provider Identifier) 1306940333. 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 George Lorne Tetreault is physically located?
The George Lorne Tetreault is physically situated at the following address: 823 Maple St, Brainerd, MN, 564013770.
What is George Lorne Tetreault's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for George Lorne Tetreault is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306940333 to George Lorne Tetreault?
The George Lorne Tetreault received its 1306940333 assignment from the Centers for Medicare & Medicaid Services on 2006-09-11.
When was the information related to George Lorne Tetreault most recently updated or refreshed?
The details pertaining to the George Lorne Tetreault, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-11-08.
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