Laraine Patricia Kurisko in Eden Prairie - Clinical
Laraine Patricia Kurisko - NPI 1104911676
Laraine Patricia Kurisko is a Clinical in Eden Prairie, Minnesota. Laraine Patricia Kurisko practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laraine Patricia Kurisko is 1104911676. The last update date is 2007-07-08.
Laraine Patricia Kurisko's current location address is 18664 Overland Trail, Eden Prairie, Minnesota. You can contact this provider via phone number 9529743764. The mailing address for Laraine Patricia Kurisko is 18664 Overland Trail, Eden Prairie, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laraine Patricia Kurisko |
|---|---|
| Address | 18664 Overland Trail, Eden Prairie, Minnesota |
| Phone Number | 9529743764 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D., LP |
NPI Number Detail
| NPI Number | 1104911676 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 18664 Overland Trail |
|---|---|
| City | Eden Prairie |
| State | Minnesota (MN) |
| Post Code | 553474186 |
| Phone Number | 9529743764 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP4466 |
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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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What is the unique identifier code issued to Laraine Patricia Kurisko by the Centers for Medicare & Medicaid Services (CMS)?
The Laraine Patricia Kurisko has been assigned the NPI (National Provider Identifier) 1104911676. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Laraine Patricia Kurisko located?
The Laraine Patricia Kurisko is located at 18664 Overland Trail, Eden Prairie, MN 553474186.
What is Laraine Patricia Kurisko's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Laraine Patricia Kurisko's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104911676 to Laraine Patricia Kurisko?
The Laraine Patricia Kurisko received its 1104911676 assignment from the Centers for Medicare & Medicaid Services on 2006-10-03.
When was the information related to Laraine Patricia Kurisko most recently updated or refreshed?
The details pertaining to the Laraine Patricia Kurisko, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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