David Burdette Mellberg in Plymouth - Clinical
David Burdette Mellberg - NPI 1659446276
David Burdette Mellberg is a Clinical in Plymouth, Minnesota. David Burdette Mellberg practices all healthcare services and medical treatments related to Clinical. The NPI Number for David Burdette Mellberg is 1659446276. The last update date is 2007-07-08.
David Burdette Mellberg's current location address is 12805 Highway 55, Plymouth, Minnesota. You can contact this provider via phone number 7635509005 and fax number 7635592118. The mailing address for David Burdette Mellberg is 12805 Highway 55, Plymouth, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | David Burdette Mellberg |
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Address | 12805 Highway 55, Plymouth, Minnesota |
Phone Number | 7635509005 |
Fax Number | 7635592118 |
Sole Proprietor | Y |
Credentials | PH.D., L.P |
NPI Number Detail
NPI Number | 1659446276 |
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Provider Enumeration Date | 2006-11-21 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 12805 Highway 55 |
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City | Plymouth |
State | Minnesota (MN) |
Post Code | 554413859 |
Phone Number | 7635509005 |
Fax Number | 7635592118 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | LP1979 |
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 10-digit identifier code assigned to David Burdette Mellberg by the Centers for Medicare & Medicaid Services?
The David Burdette Mellberg has been issued the NPI (National Provider Identifier) 1659446276 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where David Burdette Mellberg's facilities are geographically located?
The facilities of David Burdette Mellberg are physically situated at the following location: 12805 Highway 55, Plymouth, MN, 554413859.
What is David Burdette Mellberg's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for David Burdette Mellberg is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1659446276 to David Burdette Mellberg?
The Centers for Medicare & Medicaid Services assigned the 1659446276 to David Burdette Mellberg on 2006-11-21.
As of what date were the details pertaining to David Burdette Mellberg last refreshed?
The information related to the David Burdette Mellberg, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1720081763
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