Medicine Lake Consultation Group,Pllc in St Louis Park - Clinical
Medicine Lake Consultation Group,Pllc - NPI 1881753564
Medicine Lake Consultation Group,Pllc is a Clinical in St Louis Park, Minnesota. Medicine Lake Consultation Group,Pllc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Medicine Lake Consultation Group,Pllc is 1881753564. The last update date is 2015-01-23.
Medicine Lake Consultation Group,Pllc's current location address is 1155 Ford Road, St Louis Park, Minnesota. You can contact this provider via phone number 9523781800 and fax number 9523781714. The mailing address for Medicine Lake Consultation Group,Pllc is 1155 Ford Road, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medicine Lake Consultation Group,Pllc |
|---|---|
| Address | 1155 Ford Road, St Louis Park, Minnesota |
| Phone Number | 9523781800 |
| Fax Number | 9523781714 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Ram C Ani |
| Telephone Number | 9523781800 |
NPI Number Detail
| NPI Number | 1881753564 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2015-01-23 |
Provider Mailing Address Detail
| Address | 1155 Ford Road |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 55426 |
| Phone Number | 9523781800 |
| Fax Number | 9523781714 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 103TC0700X |
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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 issued to Medicine Lake Consultation Group,Pllc by the Centers for Medicare & Medicaid Services?
The Medicine Lake Consultation Group,Pllc has been assigned the NPI (National Provider Identifier) 1881753564 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Medicine Lake Consultation Group,Pllc's facilities are situated?
The facilities of Medicine Lake Consultation Group,Pllc are physically located at the following address: 1155 Ford Road, St Louis Park, MN, 55426.
What is the area of specialization for Medicine Lake Consultation Group,Pllc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Medicine Lake Consultation Group,Pllc is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When did Medicine Lake Consultation Group,Pllc receive its 1881753564 assignment?
The Medicine Lake Consultation Group,Pllc was assigned its 1881753564 on 2006-12-08, which is the date when this unique identifier was issued to the organization.
When was the information related to Medicine Lake Consultation Group,Pllc most recently updated or refreshed?
The details pertaining to the Medicine Lake Consultation Group,Pllc, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-01-23.
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