Michele Frances Dodds in St Louis Park - Clinical

Michele Frances Dodds - NPI 1396935219

Michele Frances Dodds is a Clinical in St Louis Park, Minnesota. Michele Frances Dodds practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michele Frances Dodds is 1396935219. The last update date is 2023-10-26.

Michele Frances Dodds's current location address is 4240 Park Glen Rd, St Louis Park, Minnesota. You can contact this provider via phone number 6129256033 and fax number 6129258496. The mailing address for Michele Frances Dodds is 4240 Park Glen Rd, St Louis Park, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Michele Frances Dodds
Address 4240 Park Glen Rd, St Louis Park, Minnesota
Phone Number 6129256033
Fax Number 6129258496
Sole Proprietor Y
Credentials PHD, LP

NPI Number Detail

NPI Number 1396935219
Provider Enumeration Date 2007-07-26
Last Updated Date 2023-10-26

Provider Mailing Address Detail

Address 4240 Park Glen Rd
City St Louis Park
State Minnesota (MN)
Post Code 554165427
Phone Number 6129256033
Fax Number 6129258496

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No LP3142
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
1011623 MN PREFERRED ONE
532019400 MEDICAL ASSISTANCE
8H361D0 MN BLUE CROSS BLUE SHIELD

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FAQs about Michele Frances Dodds

What is the Michele Frances Dodds's unique identification number?

The Michele Frances Dodds has been assigned the NPI (National Provider Identifier) Number 1396935219 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Michele Frances Dodds's facilities are situated?

The facilities of Michele Frances Dodds are physically located at the following address: 4240 Park Glen Rd, St Louis Park, MN, 554165427.

What is the Michele Frances Dodds's area of specialization and corresponding taxonomy classification?

The Michele Frances Dodds'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 1396935219 to Michele Frances Dodds?

The Centers for Medicare & Medicaid Services originally issued the 1396935219 to Michele Frances Dodds on 2007-07-26.

When was the Michele Frances Dodds's information last updated?

The Michele Frances Dodds's information was last updated on 2023-10-26.

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