Paul M Wenner is a Clinical in St Cloud, Minnesota. Paul M Wenner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paul M Wenner is 1326097882. The last update date is 2013-06-14.
Paul M Wenner's current location address is 1555 Northway Drive, St Cloud, Minnesota. You can contact this provider via phone number 3202403157 and fax number 3202403143. The mailing address for Paul M Wenner is 1555 Northway Drive, St Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Paul M Wenner |
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Address | 1555 Northway Drive, St Cloud, Minnesota |
Phone Number | 3202403157 |
Fax Number | 3202403143 |
Sole Proprietor | N |
Credentials | PHD LP |
NPI Number Detail
NPI Number | 1326097882 |
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Provider Enumeration Date | 2006-05-10 |
Last Updated Date | 2013-06-14 |
Provider Mailing Address Detail
Address | 1555 Northway Drive |
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City | St Cloud |
State | Minnesota (MN) |
Post Code | 563034913 |
Phone Number | 3202403157 |
Fax Number | 3202403143 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | LP2604 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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334724900 | MN | -- |
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What is the unique 10-digit identifier code assigned to Paul M Wenner by the Centers for Medicare & Medicaid Services?
The Paul M Wenner has been issued the NPI (National Provider Identifier) 1326097882 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Paul M Wenner's physical address?
The Paul M Wenner is physically located at 1555 Northway Drive, in the city of St Cloud, MN, with the postal code 563034913.
What is the Paul M Wenner's area of specialization and corresponding taxonomy classification?
The Paul M Wenner's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1326097882 to Paul M Wenner?
The Centers for Medicare & Medicaid Services originally issued the 1326097882 to Paul M Wenner on 2006-05-10.
When was the information regarding Paul M Wenner most recently updated?
The details pertaining to the Paul M Wenner, including its address, specialty, and other relevant information, were last refreshed on 2013-06-14.