Philip Psychological Clinic in Mankato - Clinical
Philip Psychological Clinic - NPI 1326216169
Philip Psychological Clinic is a Clinical in Mankato, Minnesota. Philip Psychological Clinic practices all healthcare services and medical treatments related to Clinical. The NPI Number for Philip Psychological Clinic is 1326216169. The last update date is 2008-02-14.
Philip Psychological Clinic's current location address is 510 Sibley Street, Mankato, Minnesota. You can contact this provider via phone number 2073455049 and fax number 5073455049. The mailing address for Philip Psychological Clinic is 510 Sibley Street, Mankato, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Philip Psychological Clinic |
|---|---|
| Address | 510 Sibley Street, Mankato, Minnesota |
| Phone Number | 2073455049 |
| Fax Number | 5073455049 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER DIRE |
|---|---|
| Authorized Official Name | Philip Philipose Ponvelil |
| Credentials | PHD CLINIC |
| Telephone Number | 5073455049 |
NPI Number Detail
| NPI Number | 1326216169 |
|---|---|
| Provider Enumeration Date | 2008-02-14 |
| Last Updated Date | 2008-02-14 |
Provider Mailing Address Detail
| Address | 510 Sibley Street |
|---|---|
| City | Mankato |
| State | Minnesota (MN) |
| Post Code | 56001 |
| Phone Number | 2073455049 |
| Fax Number | 5073455049 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP2258 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41516PH | MN | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Philip Psychological Clinic by the Centers for Medicare & Medicaid Services?
The Philip Psychological Clinic has been assigned the NPI (National Provider Identifier) 1326216169 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Philip Psychological Clinic?
The Philip Psychological Clinic is physically situated at 510 Sibley Street, in the city of Mankato, state of MN, with the postal code 56001.
What is Philip Psychological Clinic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Philip Psychological Clinic is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Philip Psychological Clinic receive its 1326216169 assignment from the Centers for Medicare & Medicaid Services?
The Philip Psychological Clinic was assigned its 1326216169 by the Centers for Medicare & Medicaid Services on 2008-02-14.
When was the information regarding Philip Psychological Clinic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Philip Psychological Clinic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-14.
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