Tracey Shoemaker in Spring Lake Park - Clinical
Tracey Shoemaker - NPI 1902902323
Tracey Shoemaker is a Clinical in Spring Lake Park, Minnesota. Tracey Shoemaker practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tracey Shoemaker is 1902902323. The last update date is 2007-07-08.
Tracey Shoemaker's current location address is 1485 81st Ave Ne, Spring Lake Park, Minnesota. You can contact this provider via phone number 7637803036. The mailing address for Tracey Shoemaker is 1485 81st Ave Ne, Spring Lake Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey Shoemaker |
|---|---|
| Address | 1485 81st Ave Ne, Spring Lake Park, Minnesota |
| Phone Number | 7637803036 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MA, LP |
NPI Number Detail
| NPI Number | 1902902323 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1485 81st Ave Ne |
|---|---|
| City | Spring Lake Park |
| State | Minnesota (MN) |
| Post Code | 554322111 |
| Phone Number | 7637803036 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP3750 |
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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 |
|---|---|---|---|
| 62-22415 | MN | MEDICA | |
| 5483166-00 | MN | MA | |
| 61D95SH | MN | BLUE CROSS | |
| HP27880 | MN | HEALTH PARTNERS | |
| 108248 | MN | UCARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tracey Shoemaker by the Centers for Medicare & Medicaid Services?
The Tracey Shoemaker has been issued the NPI (National Provider Identifier) 1902902323 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Tracey Shoemaker's physical address?
The Tracey Shoemaker is physically located at 1485 81St Ave Ne, in the city of Spring Lake Park, MN, with the postal code 554322111.
What is Tracey Shoemaker's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tracey Shoemaker is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Tracey Shoemaker receive the assignment of its 1902902323 from the Centers for Medicare & Medicaid Services?
The Tracey Shoemaker was issued its 1902902323 by the Centers for Medicare & Medicaid Services on 2006-09-15.
As of what date were the Tracey Shoemaker's details last updated?
The information pertaining to the Tracey Shoemaker, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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