Vernon T Devine is a Clinical in St Louis Park, Minnesota. Vernon T Devine practices all healthcare services and medical treatments related to Clinical. The NPI Number for Vernon T Devine is 1457443582. The last update date is 2007-07-08.
Vernon T Devine's current location address is 4500 Park Glen Rd, St Louis Park, Minnesota. You can contact this provider via phone number 9529299478 and fax number 9529299548. The mailing address for Vernon T Devine is 4500 Park Glen Rd, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vernon T Devine |
|---|---|
| Address | 4500 Park Glen Rd, St Louis Park, Minnesota |
| Phone Number | 9529299478 |
| Fax Number | 9529299548 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1457443582 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| 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 | 9529299478 |
| Fax Number | 9529299548 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP0131 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 61-20116 | MN | UBH | |
| 1F223DE | MN | BCBSMN | |
| 181547400 | MN | -- |
Post Comment/ Review Below
What is the Vernon T Devine's unique identification number?
The Vernon T Devine has been assigned the NPI (National Provider Identifier) Number 1457443582 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Vernon T Devine?
The Vernon T Devine is physically situated at 4500 Park Glen Rd, in the city of St Louis Park, state of MN, with the postal code 554164871.
What is Vernon T Devine's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Vernon T Devine's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457443582 to Vernon T Devine?
The Centers for Medicare & Medicaid Services originally issued the 1457443582 to Vernon T Devine on 2006-09-28.
When was the information regarding Vernon T Devine, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Vernon T Devine, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC