Gloria Wood in Cambridge - Clinical

Gloria Wood - NPI 1467439356

Gloria Wood is a Clinical in Cambridge, Minnesota. Gloria Wood practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gloria Wood is 1467439356. The last update date is 2007-07-08.

Gloria Wood's current location address is 1845 Old South Main Street, Cambridge, Minnesota. You can contact this provider via phone number 6128245019. The mailing address for Gloria Wood is 1845 Old South Main Street, Cambridge, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Gloria Wood
Address 1845 Old South Main Street, Cambridge, Minnesota
Phone Number 6128245019
Fax Number
Sole Proprietor Y
Credentials PH.D., L.P

NPI Number Detail

NPI Number 1467439356
Provider Enumeration Date 2005-12-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1845 Old South Main Street
City Cambridge
State Minnesota (MN)
Post Code 55008
Phone Number 6128245019
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No LP0218
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
72314WO MN BCBS INDIVIDUAL #
HP18175 MN HEALTHPARTNERS HPFIN
5171 MN HEALTHPARTNERS GROUP
59525WO MN BLUE CROSS BLUE SHIELD

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FAQs about Gloria Wood

What is the unique identifier code issued to Gloria Wood by the Centers for Medicare & Medicaid Services?

The Gloria Wood has been assigned the NPI (National Provider Identifier) 1467439356. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Gloria Wood is physically located?

The Gloria Wood is situated at the following address: 1845 Old South Main Street, Cambridge, MN 55008.

What is Gloria Wood's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Gloria Wood is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.

On what date did the Gloria Wood receive its 1467439356 assignment from the Centers for Medicare & Medicaid Services?

The Gloria Wood was assigned its 1467439356 by the Centers for Medicare & Medicaid Services on 2005-12-30.

When was the Gloria Wood's information last updated?

The Gloria Wood's information was last updated on 2007-07-08.

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