Brian Edward Powers in St Louis Park - Clinical
Brian Edward Powers - NPI 1558383794
Brian Edward Powers is a Clinical in St Louis Park, Minnesota. Brian Edward Powers practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brian Edward Powers is 1558383794. The last update date is 2007-07-08.
Brian Edward Powers's current location address is 4500 Park Glen Rd, St Louis Park, Minnesota. You can contact this provider via phone number 6129864397 and fax number 9524951409. The mailing address for Brian Edward Powers is 4500 Park Glen Rd, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Edward Powers |
|---|---|
| Address | 4500 Park Glen Rd, St Louis Park, Minnesota |
| Phone Number | 6129864397 |
| Fax Number | 9524951409 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1558383794 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4500 Park Glen Rd |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554164871 |
| Phone Number | 6129864397 |
| Fax Number | 9524951409 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP 2546 |
|
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 |
|---|---|---|---|
| 5H617PO | MN | BLUE CROSS ID | |
| 61-42917 | MN | UBH ID |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Brian Edward Powers by the Centers for Medicare & Medicaid Services?
The Brian Edward Powers has been assigned the NPI (National Provider Identifier) 1558383794 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 address where Brian Edward Powers is physically located?
The Brian Edward Powers is situated at the following address: 4500 Park Glen Rd, St Louis Park, MN 554164871.
What is Brian Edward Powers's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Brian Edward Powers is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
When did the Brian Edward Powers receive its 1558383794?
The Brian Edward Powers was issued its 1558383794 on 2006-07-24, which is the date when the organization was assigned this unique identifier.
As of what date were the Brian Edward Powers's details last updated?
The information pertaining to the Brian Edward Powers, including its address, specialty, and other details, was most recently updated on 2007-07-08.