Leni De Mik in Minneapolis - Clinical

Leni De Mik - NPI 1306962998

Leni De Mik is a Clinical in Minneapolis, Minnesota. Leni De Mik practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leni De Mik is 1306962998. The last update date is 2007-07-08.

Leni De Mik's current location address is 430 Oak Grove Street, Minneapolis, Minnesota. You can contact this provider via phone number 6128700230. The mailing address for Leni De Mik is 430 Oak Grove Street, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Leni De Mik
Address 430 Oak Grove Street, Minneapolis, Minnesota
Phone Number 6128700230
Fax Number
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1306962998
Provider Enumeration Date 2007-03-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 430 Oak Grove Street
City Minneapolis
State Minnesota (MN)
Post Code 554033259
Phone Number 6128700230
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No LP0922
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
3492562 MN MN PROV TAX NO

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FAQs about Leni De Mik

What is the unique 10-digit identifier code assigned to Leni De Mik by the Centers for Medicare & Medicaid Services?

The Leni De Mik has been issued the NPI (National Provider Identifier) 1306962998 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Leni De Mik is geographically located?

The Leni De Mik is physically situated at the following location: 430 Oak Grove Street, Minneapolis, MN, 554033259.

What is the Leni De Mik's specialty and taxonomy code?

The Leni De Mik's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1306962998 to Leni De Mik?

The Leni De Mik received its 1306962998 assignment from the Centers for Medicare & Medicaid Services on 2007-03-22.

When was the information regarding Leni De Mik, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Leni De Mik, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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