Kerry Lynn Van Dusen in Duluth - Clinical
Kerry Lynn Van Dusen - NPI 1700919073
Kerry Lynn Van Dusen is a Clinical in Duluth, Minnesota. Kerry Lynn Van Dusen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kerry Lynn Van Dusen is 1700919073. The last update date is 2021-12-30.
Kerry Lynn Van Dusen's current location address is 324 W Superior St, Duluth, Minnesota. You can contact this provider via phone number 2187403026 and fax number 2187403030. The mailing address for Kerry Lynn Van Dusen is 324 W Superior St, Duluth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry Lynn Van Dusen |
|---|---|
| Address | 324 W Superior St, Duluth, Minnesota |
| Phone Number | 2187403026 |
| Fax Number | 2187403030 |
| Sole Proprietor | N |
| Credentials | PSYD LP |
NPI Number Detail
| NPI Number | 1700919073 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2021-12-30 |
Provider Mailing Address Detail
| Address | 324 W Superior St |
|---|---|
| City | Duluth |
| State | Minnesota (MN) |
| Post Code | 55802 |
| Phone Number | 2187403026 |
| Fax Number | 2187403030 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP4115 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 174M6N0 | MN | BCBS | |
| 174M7VA | MN | BCBS | |
| 705222700 | MN | -- |
Post Comment/ Review Below
What is the Kerry Lynn Van Dusen's unique identification number?
The Kerry Lynn Van Dusen has been assigned the NPI (National Provider Identifier) Number 1700919073 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Kerry Lynn Van Dusen?
The Kerry Lynn Van Dusen is physically situated at 324 W Superior St, in the city of Duluth, state of MN, with the postal code 55802.
What is the Kerry Lynn Van Dusen's specialty and taxonomy code?
The Kerry Lynn Van Dusen's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When was the Kerry Lynn Van Dusen's 1700919073 issued?
The Kerry Lynn Van Dusen's 1700919073 was issued on 2007-03-14.
As of what date were the details pertaining to Kerry Lynn Van Dusen last refreshed?
The information related to the Kerry Lynn Van Dusen, including its address, specialty, and other relevant details, was last updated on 2021-12-30.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC