Michael Fatis is a Clinical in Mankato, Minnesota. Michael Fatis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Fatis is 1912958117. The last update date is 2007-07-09.
Michael Fatis's current location address is 600 Reed St, Mankato, Minnesota. You can contact this provider via phone number 5076254060. The mailing address for Michael Fatis is 600 Reed St, Mankato, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Fatis |
|---|---|
| Address | 600 Reed St, Mankato, Minnesota |
| Phone Number | 5076254060 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1912958117 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 600 Reed St |
|---|---|
| City | Mankato |
| State | Minnesota (MN) |
| Post Code | 560016410 |
| Phone Number | 5076254060 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP0138 |
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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 Michael Fatis by the Centers for Medicare & Medicaid Services?
The Michael Fatis has been assigned the NPI (National Provider Identifier) 1912958117. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michael Fatis is physically located?
The Michael Fatis is physically situated at the following address: 600 Reed St, Mankato, MN, 560016410.
What is Michael Fatis's area of expertise and its corresponding taxonomy classification?
The Michael Fatis's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
When was the Michael Fatis's 1912958117 issued?
The Michael Fatis's 1912958117 was issued on 2006-05-12.
When was the information regarding Michael Fatis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Michael Fatis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.