Max Russell Trenerry in Rochester - Clinical
Max Russell Trenerry - NPI 1760462154
Max Russell Trenerry is a Clinical in Rochester, Minnesota. Max Russell Trenerry practices all healthcare services and medical treatments related to Clinical. The NPI Number for Max Russell Trenerry is 1760462154. The last update date is 2020-08-24.
Max Russell Trenerry's current location address is 200 1st St Sw, Rochester, Minnesota. You can contact this provider via phone number 5072842511. The mailing address for Max Russell Trenerry is 200 1st St Sw, Rochester, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Max Russell Trenerry |
|---|---|
| Address | 200 1st St Sw, Rochester, Minnesota |
| Phone Number | 5072842511 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD, ABPP- |
NPI Number Detail
| NPI Number | 1760462154 |
|---|---|
| Provider Enumeration Date | 2006-01-20 |
| Last Updated Date | 2020-08-24 |
Provider Mailing Address Detail
| Address | 200 1st St Sw |
|---|---|
| City | Rochester |
| State | Minnesota (MN) |
| Post Code | 559050001 |
| Phone Number | 5072842511 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP2165 |
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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 |
|---|---|---|---|
| 976052100 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Max Russell Trenerry by the Centers for Medicare & Medicaid Services?
The Max Russell Trenerry has been issued the NPI (National Provider Identifier) 1760462154, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Max Russell Trenerry's facilities are geographically located?
The facilities of Max Russell Trenerry are physically situated at the following location: 200 1St St Sw, Rochester, MN, 559050001.
What is Max Russell Trenerry's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Max Russell Trenerry is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did Max Russell Trenerry receive its 1760462154 assignment from the Centers for Medicare & Medicaid Services?
The Max Russell Trenerry was assigned its 1760462154 on 2006-01-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Max Russell Trenerry most recently updated or revised?
The details related to Max Russell Trenerry, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-24.