Integral Psychotherapy, Llc in Minneapolis - Clinical
Integral Psychotherapy, Llc - NPI 1376768853
Integral Psychotherapy, Llc is a Clinical in Minneapolis, Minnesota. Integral Psychotherapy, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Integral Psychotherapy, Llc is 1376768853. The last update date is 2011-11-25.
Integral Psychotherapy, Llc's current location address is 3808 Grand Ave S, Minneapolis, Minnesota. You can contact this provider via phone number 6128070388. The mailing address for Integral Psychotherapy, Llc is 3808 Grand Ave S, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Integral Psychotherapy, Llc |
|---|---|
| Address | 3808 Grand Ave S, Minneapolis, Minnesota |
| Phone Number | 6128070388 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Thompson Gustaf David |
| Credentials | PSY.D. |
| Telephone Number | 6128070388 |
NPI Number Detail
| NPI Number | 1376768853 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2011-11-25 |
Provider Mailing Address Detail
| Address | 3808 Grand Ave S |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554091233 |
| Phone Number | 6128070388 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP4807 |
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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 Integral Psychotherapy, Llc by the Centers for Medicare & Medicaid Services?
The Integral Psychotherapy, Llc has been assigned the NPI (National Provider Identifier) 1376768853. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Integral Psychotherapy, Llc?
The Integral Psychotherapy, Llc is situated at 3808 Grand Ave S, in the city of Minneapolis, state of MN, with the zip code 554091233.
What is the Integral Psychotherapy, Llc's area of specialization and corresponding taxonomy classification?
The Integral Psychotherapy, Llc's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376768853 to Integral Psychotherapy, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1376768853 to Integral Psychotherapy, Llc on 2007-04-17.
When was the Integral Psychotherapy, Llc's information last updated?
The Integral Psychotherapy, Llc's information was last updated on 2011-11-25.