Suburban North Psychological Services, P.A. in Saint Paul - Clinical
Suburban North Psychological Services, P.A. - NPI 1972727105
Suburban North Psychological Services, P.A. is a Clinical in Saint Paul, Minnesota. Suburban North Psychological Services, P.A. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Suburban North Psychological Services, P.A. is 1972727105. The last update date is 2020-08-22.
Suburban North Psychological Services, P.A.'s current location address is 1512 California Ave W, Saint Paul, Minnesota. You can contact this provider via phone number 6516471653 and fax number 6123793183. The mailing address for Suburban North Psychological Services, P.A. is 1512 California Ave W, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Suburban North Psychological Services, P.A. |
|---|---|
| Address | 1512 California Ave W, Saint Paul, Minnesota |
| Phone Number | 6516471653 |
| Fax Number | 6123793183 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LICENSED P |
|---|---|
| Authorized Official Name | Fritsche William Ferde |
| Credentials | PH.D., L.P |
| Telephone Number | 6516471653 |
NPI Number Detail
| NPI Number | 1972727105 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1512 California Ave W |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551082105 |
| Phone Number | 6516471653 |
| Fax Number | 6123793183 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP 2514 |
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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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What is the unique 10-digit identifier code assigned to Suburban North Psychological Services, P.A. by the Centers for Medicare & Medicaid Services?
The Suburban North Psychological Services, P.A. has been issued the NPI (National Provider Identifier) 1972727105 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Suburban North Psychological Services, P.A.'s physical address?
The Suburban North Psychological Services, P.A. is physically located at 1512 California Ave W, in the city of Saint Paul, MN, with the postal code 551082105.
What is Suburban North Psychological Services, P.A.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Suburban North Psychological Services, P.A. is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1972727105 to Suburban North Psychological Services, P.A.?
The Centers for Medicare & Medicaid Services assigned the 1972727105 to Suburban North Psychological Services, P.A. on 2007-04-12.
As of what date were the details related to Suburban North Psychological Services, P.A. most recently updated or revised?
The information pertaining to Suburban North Psychological Services, P.A., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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