Nicole Paige Grunzke-Lynner in Saint Paul - Clinical

Nicole Paige Grunzke-Lynner - NPI 1437106770

Nicole Paige Grunzke-Lynner is a Clinical in Saint Paul, Minnesota. Nicole Paige Grunzke-Lynner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nicole Paige Grunzke-Lynner is 1437106770. The last update date is 2013-01-09.

Nicole Paige Grunzke-Lynner's current location address is 2388 University Ave W, Saint Paul, Minnesota. You can contact this provider via phone number 9522101360. The mailing address for Nicole Paige Grunzke-Lynner is 2388 University Ave W, Saint Paul, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicole Paige Grunzke-Lynner
Address 2388 University Ave W, Saint Paul, Minnesota
Phone Number 9522101360
Fax Number
Sole Proprietor Y
Credentials PSY.D., L.

NPI Number Detail

NPI Number 1437106770
Provider Enumeration Date 2006-05-30
Last Updated Date 2013-01-09

Provider Mailing Address Detail

Address 2388 University Ave W
City Saint Paul
State Minnesota (MN)
Post Code 551141769
Phone Number 9522101360
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 4347
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
557344100 MN MEDICAL ASSISTANCE
156M3GR MN BCBS
6142042 MN STATE TAX ID
61-42042 MN UBH

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FAQs about Nicole Paige Grunzke-Lynner

What is the unique 10-digit identification code issued to Nicole Paige Grunzke-Lynner by the Centers for Medicare & Medicaid Services?

The Nicole Paige Grunzke-Lynner has been assigned the NPI (National Provider Identifier) 1437106770 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Nicole Paige Grunzke-Lynner is physically located?

The Nicole Paige Grunzke-Lynner is situated at the following address: 2388 University Ave W, Saint Paul, MN 551141769.

What is Nicole Paige Grunzke-Lynner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Nicole Paige Grunzke-Lynner'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 Nicole Paige Grunzke-Lynner receive the assignment of its 1437106770 from the Centers for Medicare & Medicaid Services?

The Nicole Paige Grunzke-Lynner was issued its 1437106770 by the Centers for Medicare & Medicaid Services on 2006-05-30.

As of what date was the information pertaining to Nicole Paige Grunzke-Lynner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Nicole Paige Grunzke-Lynner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-01-09.

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