David Randal in St Louis Park - Clinical

David Randal - NPI 1275519795

David Randal is a Clinical in St Louis Park, Minnesota. David Randal practices all healthcare services and medical treatments related to Clinical. The NPI Number for David Randal is 1275519795. The last update date is 2007-07-08.

David Randal's current location address is 6465 Wayzata Blvd, St Louis Park, Minnesota. You can contact this provider via phone number 9529936450 and fax number 9529930300. The mailing address for David Randal is 6465 Wayzata Blvd, St Louis Park, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name David Randal
Address 6465 Wayzata Blvd, St Louis Park, Minnesota
Phone Number 9529936450
Fax Number 9529930300
Sole Proprietor X
Credentials --

NPI Number Detail

NPI Number 1275519795
Provider Enumeration Date 2005-12-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6465 Wayzata Blvd
City St Louis Park
State Minnesota (MN)
Post Code 554261728
Phone Number 9529936450
Fax Number 9529930300

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No LP2548
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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FAQs about David Randal

What is the unique identifier code issued to David Randal by the Centers for Medicare & Medicaid Services?

The David Randal has been assigned the NPI (National Provider Identifier) 1275519795. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where David Randal is physically located?

The David Randal is physically situated at the following address: 6465 Wayzata Blvd, St Louis Park, MN, 554261728.

What is David Randal's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for David Randal is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.

On what date did David Randal receive its 1275519795 assignment from the Centers for Medicare & Medicaid Services?

The David Randal was assigned its 1275519795 on 2005-12-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding David Randal, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to David Randal, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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