Jennifer Beth Mcdermott in Saint Paul - Clinical
Jennifer Beth Mcdermott - NPI 1568510824
Jennifer Beth Mcdermott is a Clinical in Saint Paul, Minnesota. Jennifer Beth Mcdermott practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Beth Mcdermott is 1568510824. The last update date is 2007-07-08.
Jennifer Beth Mcdermott's current location address is 1755 Ashland Ave, Saint Paul, Minnesota. You can contact this provider via phone number 6519173843 and fax number 6512667854. The mailing address for Jennifer Beth Mcdermott is 1755 Ashland Ave, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Beth Mcdermott |
|---|---|
| Address | 1755 Ashland Ave, Saint Paul, Minnesota |
| Phone Number | 6519173843 |
| Fax Number | 6512667854 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1568510824 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1755 Ashland Ave |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551046168 |
| Phone Number | 6519173843 |
| Fax Number | 6512667854 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP 4569 |
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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 |
|---|---|---|---|
| 692635500 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jennifer Beth Mcdermott by the Centers for Medicare & Medicaid Services?
The Jennifer Beth Mcdermott has been assigned the NPI (National Provider Identifier) 1568510824 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Jennifer Beth Mcdermott is located?
The Jennifer Beth Mcdermott is situated at the following address: 1755 Ashland Ave, Saint Paul, MN, 551046168.
What is Jennifer Beth Mcdermott's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jennifer Beth Mcdermott is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Jennifer Beth Mcdermott receive the assignment of its 1568510824 from the Centers for Medicare & Medicaid Services?
The Jennifer Beth Mcdermott was issued its 1568510824 by the Centers for Medicare & Medicaid Services on 2007-01-05.
As of what date was the information regarding Jennifer Beth Mcdermott, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jennifer Beth Mcdermott, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1407858566
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