Randall Earl Bundy is a Clinical in New Ulm, Minnesota. Randall Earl Bundy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Randall Earl Bundy is 1982627535. The last update date is 2018-06-30.
Randall Earl Bundy's current location address is 1407 S State St, New Ulm, Minnesota. You can contact this provider via phone number 5073543181 and fax number 5073543183. The mailing address for Randall Earl Bundy is 1407 S State St, New Ulm, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Earl Bundy |
|---|---|
| Address | 1407 S State St, New Ulm, Minnesota |
| Phone Number | 5073543181 |
| Fax Number | 5073543183 |
| Sole Proprietor | Y |
| Credentials | LP |
NPI Number Detail
| NPI Number | 1982627535 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2018-06-30 |
Provider Mailing Address Detail
| Address | 1407 S State St |
|---|---|
| City | New Ulm |
| State | Minnesota (MN) |
| Post Code | 560733715 |
| Phone Number | 5073543181 |
| Fax Number | 5073543183 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP1021 |
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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 |
|---|---|---|---|
| 122361 | MN | UCARE | |
| 150226 | MN | UCARE | |
| 8441161 | MN | UBH/MEDICA | |
| 230222500 | MN | -- | |
| 45396BU | MN | BCBS | |
| 84722 | MN | HEALTH PARTNERS |
Post Comment/ Review Below
What is the Randall Earl Bundy's unique identification number?
The Randall Earl Bundy has been assigned the NPI (National Provider Identifier) Number 1982627535 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Randall Earl Bundy's facilities are situated?
The facilities of Randall Earl Bundy are physically located at the following address: 1407 S State St, New Ulm, MN, 560733715.
What is the area of specialization for Randall Earl Bundy, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Randall Earl Bundy is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date was the 1982627535 assigned to Randall Earl Bundy?
The Randall Earl Bundy was issued its 1982627535 on 2006-07-25, 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 pertaining to Randall Earl Bundy last refreshed?
The information related to the Randall Earl Bundy, including its address, specialty, and other relevant details, was last updated on 2018-06-30.
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