Celeste Rose Yanisch in Saint Paul - Clinical
Celeste Rose Yanisch - NPI 1780715417
Celeste Rose Yanisch is a Clinical in Saint Paul, Minnesota. Celeste Rose Yanisch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Celeste Rose Yanisch is 1780715417. The last update date is 2007-07-08.
Celeste Rose Yanisch's current location address is 1596 Upper Afton Rd, Saint Paul, Minnesota. You can contact this provider via phone number 6517722577. The mailing address for Celeste Rose Yanisch is 1596 Upper Afton Rd, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Celeste Rose Yanisch |
|---|---|
| Address | 1596 Upper Afton Rd, Saint Paul, Minnesota |
| Phone Number | 6517722577 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1780715417 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1596 Upper Afton Rd |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551066839 |
| Phone Number | 6517722577 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP3761 |
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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 |
|---|---|---|---|
| 79G96YA | MN | BCBSMN | |
| 941419300 | MN | MEDICAL ASSISTANCE NUMBER | |
| HP46412 | MN | HEALTHPARTNERS NUMBER |
Post Comment/ Review Below
What is the Celeste Rose Yanisch's 1780715417?
The Celeste Rose Yanisch's NPI (National Provider Identifier) Number is 1780715417. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Celeste Rose Yanisch's facilities are situated?
The facilities of Celeste Rose Yanisch are physically located at the following address: 1596 Upper Afton Rd, Saint Paul, MN, 551066839.
What is Celeste Rose Yanisch's specialized field of practice, and what is the corresponding taxonomy classification code?
The Celeste Rose Yanisch's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did the Celeste Rose Yanisch receive its 1780715417?
The Celeste Rose Yanisch was issued its 1780715417 on 2007-03-07, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Celeste Rose Yanisch last refreshed?
The information related to the Celeste Rose Yanisch, including its address, specialty, and other relevant details, was last updated on 2007-07-08.