Thomas Arthur Breitenbucher in Brooklyn Center - Clinical

Thomas Arthur Breitenbucher - NPI 1699846154

Thomas Arthur Breitenbucher is a Clinical in Brooklyn Center, Minnesota. Thomas Arthur Breitenbucher practices all healthcare services and medical treatments related to Clinical. The NPI Number for Thomas Arthur Breitenbucher is 1699846154. The last update date is 2016-11-17.

Thomas Arthur Breitenbucher's current location address is 6120 Earle Brown Dr, Brooklyn Center, Minnesota. You can contact this provider via phone number 7635310566 and fax number 7635310602. The mailing address for Thomas Arthur Breitenbucher is 6120 Earle Brown Dr, Brooklyn Center, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Arthur Breitenbucher
Address 6120 Earle Brown Dr, Brooklyn Center, Minnesota
Phone Number 7635310566
Fax Number 7635310602
Sole Proprietor N
Credentials PH.D., L.P

NPI Number Detail

NPI Number 1699846154
Provider Enumeration Date 2006-11-13
Last Updated Date 2016-11-17

Provider Mailing Address Detail

Address 6120 Earle Brown Dr
City Brooklyn Center
State Minnesota (MN)
Post Code 554302123
Phone Number 7635310566
Fax Number 7635310602

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No LP2794
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
104654 MN UCARE
54R37BR MN BLUECROSSBLUESHIELD
433853700 MN --
61-16175 MN MEDICA

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FAQs about Thomas Arthur Breitenbucher

What is the unique identification code assigned to Thomas Arthur Breitenbucher by the Centers for Medicare & Medicaid Services?

The Thomas Arthur Breitenbucher has been issued the NPI (National Provider Identifier) 1699846154. 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 Thomas Arthur Breitenbucher is physically located?

The Thomas Arthur Breitenbucher is situated at the following address: 6120 Earle Brown Dr, Brooklyn Center, MN 554302123.

What is Thomas Arthur Breitenbucher's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Thomas Arthur Breitenbucher is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1699846154 to Thomas Arthur Breitenbucher?

The Centers for Medicare & Medicaid Services originally issued the 1699846154 to Thomas Arthur Breitenbucher on 2006-11-13.

As of what date was the information pertaining to Thomas Arthur Breitenbucher, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Thomas Arthur Breitenbucher, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-11-17.

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