Fowler Psychological Services Inc in St Louis Park - Clinical

Fowler Psychological Services Inc - NPI 1235249541

Fowler Psychological Services Inc is a Clinical in St Louis Park, Minnesota. Fowler Psychological Services Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Fowler Psychological Services Inc is 1235249541. The last update date is 2020-08-22.

Fowler Psychological Services Inc's current location address is 5353 Gamble Dr, St Louis Park, Minnesota. You can contact this provider via phone number 9525458833. The mailing address for Fowler Psychological Services Inc is 5353 Gamble Dr, St Louis Park, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Fowler Psychological Services Inc
Address 5353 Gamble Dr, St Louis Park, Minnesota
Phone Number 9525458833
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Fowler Richard John
Credentials PHD
Telephone Number 9525458833

NPI Number Detail

NPI Number 1235249541
Provider Enumeration Date 2006-08-30
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 5353 Gamble Dr
City St Louis Park
State Minnesota (MN)
Post Code 55416
Phone Number 9525458833
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No LP1765
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
14757F0 MN BCBS
1581524 MN MEDICA

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FAQs about Fowler Psychological Services Inc

What is the unique identifier code issued to Fowler Psychological Services Inc by the Centers for Medicare & Medicaid Services (CMS)?

The Fowler Psychological Services Inc has been assigned the NPI (National Provider Identifier) 1235249541. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Fowler Psychological Services Inc's facilities are situated?

The facilities of Fowler Psychological Services Inc are physically located at the following address: 5353 Gamble Dr, St Louis Park, MN, 55416.

What is Fowler Psychological Services Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Fowler Psychological Services Inc is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.

When did the Fowler Psychological Services Inc receive its 1235249541?

The Fowler Psychological Services Inc was issued its 1235249541 on 2006-08-30, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Fowler Psychological Services Inc last refreshed?

The information related to the Fowler Psychological Services Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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