Marie Welborn is a Clinical in Edina, Minnesota. Marie Welborn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marie Welborn is 1083740286. The last update date is 2007-07-08.
Marie Welborn's current location address is Po Box 24625, Edina, Minnesota. You can contact this provider via phone number 6128244123 and fax number 9528298005. The mailing address for Marie Welborn is Po Box 24625, Edina, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marie Welborn |
|---|---|
| Address | Po Box 24625, Edina, Minnesota |
| Phone Number | 6128244123 |
| Fax Number | 9528298005 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1083740286 |
|---|---|
| Provider Enumeration Date | 2007-02-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 24625 |
|---|---|
| City | Edina |
| State | Minnesota (MN) |
| Post Code | 554240625 |
| Phone Number | 6128244123 |
| Fax Number | 9528298005 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP4371 |
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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 identification code assigned to Marie Welborn by the Centers for Medicare & Medicaid Services?
The Marie Welborn has been issued the NPI (National Provider Identifier) 1083740286. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Marie Welborn's physical address?
The Marie Welborn is physically located at Po Box 24625, in the city of Edina, MN, with the postal code 554240625.
What is the Marie Welborn's specialty and taxonomy code?
The Marie Welborn's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Marie Welborn receive its 1083740286 assignment from the Centers for Medicare & Medicaid Services?
The Marie Welborn was assigned its 1083740286 by the Centers for Medicare & Medicaid Services on 2007-02-24.
When was the information pertaining to Marie Welborn most recently updated or revised?
The details related to Marie Welborn, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.