Douglas J Latuseck in Lino Lakes - Clinical
Douglas J Latuseck - NPI 1528264488
Douglas J Latuseck is a Clinical in Lino Lakes, Minnesota. Douglas J Latuseck practices all healthcare services and medical treatments related to Clinical. The NPI Number for Douglas J Latuseck is 1528264488. The last update date is 2007-11-28.
Douglas J Latuseck's current location address is 7525 4th Ave, Lino Lakes, Minnesota. You can contact this provider via phone number 6517176549 and fax number 6517176697. The mailing address for Douglas J Latuseck is 7525 4th Ave, Lino Lakes, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas J Latuseck |
|---|---|
| Address | 7525 4th Ave, Lino Lakes, Minnesota |
| Phone Number | 6517176549 |
| Fax Number | 6517176697 |
| Sole Proprietor | Y |
| Credentials | PSYD, LP |
NPI Number Detail
| NPI Number | 1528264488 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2007-11-28 |
Provider Mailing Address Detail
| Address | 7525 4th Ave |
|---|---|
| City | Lino Lakes |
| State | Minnesota (MN) |
| Post Code | 550141006 |
| Phone Number | 6517176549 |
| Fax Number | 6517176697 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP4822 |
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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 10-digit identifier code issued to Douglas J Latuseck by the Centers for Medicare & Medicaid Services?
The Douglas J Latuseck has been assigned the NPI (National Provider Identifier) 1528264488 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Douglas J Latuseck is located?
The Douglas J Latuseck is situated at the following address: 7525 4Th Ave, Lino Lakes, MN, 550141006.
What is Douglas J Latuseck's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Douglas J Latuseck's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
When did Douglas J Latuseck receive its 1528264488 assignment?
The Douglas J Latuseck was assigned its 1528264488 on 2007-06-26, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Douglas J Latuseck, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Douglas J Latuseck, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-28.
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