Mark Lynn Miller is a Clinical in Minneapolis, Minnesota. Mark Lynn Miller practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Lynn Miller is 1184665390. The last update date is 2007-07-08.
Mark Lynn Miller's current location address is 800 E 28th St, Minneapolis, Minnesota. You can contact this provider via phone number 6128635327 and fax number 6128632596. The mailing address for Mark Lynn Miller is 800 E 28th St, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark Lynn Miller |
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Address | 800 E 28th St, Minneapolis, Minnesota |
Phone Number | 6128635327 |
Fax Number | 6128632596 |
Sole Proprietor | X |
Credentials | PSY.D., L. |
NPI Number Detail
NPI Number | 1184665390 |
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Provider Enumeration Date | 2006-06-09 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 800 E 28th St |
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City | Minneapolis |
State | Minnesota (MN) |
Post Code | 554073723 |
Phone Number | 6128635327 |
Fax Number | 6128632596 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | LP2306 |
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 |
---|---|---|---|
1012262 | FM | PREFERRED ONE | |
263S5MI | MN | BLUE CROSS/BLUE | |
61-77458 | FM | UBH/SELECTCARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark Lynn Miller by the Centers for Medicare & Medicaid Services?
The Mark Lynn Miller has been issued the NPI (National Provider Identifier) 1184665390, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mark Lynn Miller is geographically located?
The Mark Lynn Miller is physically situated at the following location: 800 E 28Th St, Minneapolis, MN, 554073723.
What is the area of specialization for Mark Lynn Miller, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark Lynn Miller is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When did the Mark Lynn Miller receive its 1184665390?
The Mark Lynn Miller was issued its 1184665390 on 2006-06-09, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Mark Lynn Miller, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark Lynn Miller, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.