Mark B Weisberg is a Clinical in Minneapolis, Minnesota. Mark B Weisberg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark B Weisberg is 1104936913. The last update date is 2007-07-08.
Mark B Weisberg's current location address is 430 Oak Grove St, Minneapolis, Minnesota. You can contact this provider via phone number 6125209159. The mailing address for Mark B Weisberg is 430 Oak Grove St, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark B Weisberg |
|---|---|
| Address | 430 Oak Grove St, Minneapolis, Minnesota |
| Phone Number | 6125209159 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D., ABP |
NPI Number Detail
| NPI Number | 1104936913 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 430 Oak Grove St |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554033253 |
| Phone Number | 6125209159 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP 1311 |
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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 identification code assigned to Mark B Weisberg by the Centers for Medicare & Medicaid Services?
The Mark B Weisberg has been issued the NPI (National Provider Identifier) 1104936913. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark B Weisberg located?
The Mark B Weisberg is located at 430 Oak Grove St, Minneapolis, MN 554033253.
What is the Mark B Weisberg's area of specialization and corresponding taxonomy classification?
The Mark B Weisberg's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date was the 1104936913 assigned to Mark B Weisberg?
The Mark B Weisberg was issued its 1104936913 on 2006-08-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Mark B Weisberg most recently updated or revised?
The information pertaining to Mark B Weisberg, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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