Mary G Freitag is a Clinical in Stillwater, Minnesota. Mary G Freitag practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary G Freitag is 1447301908. The last update date is 2019-10-25.
Mary G Freitag's current location address is 10480 Perkins Ave N, Stillwater, Minnesota. You can contact this provider via phone number 6513573216 and fax number 6517306657. The mailing address for Mary G Freitag is 10480 Perkins Ave N, Stillwater, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary G Freitag |
|---|---|
| Address | 10480 Perkins Ave N, Stillwater, Minnesota |
| Phone Number | 6513573216 |
| Fax Number | 6517306657 |
| Sole Proprietor | Y |
| Credentials | PSYD LP |
NPI Number Detail
| NPI Number | 1447301908 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2019-10-25 |
Provider Mailing Address Detail
| Address | 10480 Perkins Ave N |
|---|---|
| City | Stillwater |
| State | Minnesota (MN) |
| Post Code | 550829273 |
| Phone Number | 6513573216 |
| Fax Number | 6517306657 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP4319 |
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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 |
|---|---|---|---|
| 14959400 | MN | MEDICAL ASSISTANCE MHCP | |
| 130952 | MN | U CARE | |
| 492456 | MN | -- | |
| 20358-02 | MN | BHP | |
| 028H0HA | MN | BCBS | |
| 6151196 | UBH | ||
| 028H1FR | MN | BCBS | |
| 1028022 | MN | MENTAL HEALTH | |
| HP 33776 | MN | MENTAL HEALTH |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary G Freitag by the Centers for Medicare & Medicaid Services?
The Mary G Freitag has been assigned the NPI (National Provider Identifier) 1447301908 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Mary G Freitag's physical address?
The Mary G Freitag is physically located at 10480 Perkins Ave N, in the city of Stillwater, MN, with the postal code 550829273.
What is Mary G Freitag's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary G Freitag is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date was the 1447301908 assigned to Mary G Freitag?
The Mary G Freitag was issued its 1447301908 on 2007-01-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Mary G Freitag, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary G Freitag, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-10-25.