Jonathan Speare is a Clinical in Virginia, Minnesota. Jonathan Speare practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jonathan Speare is 1962537282. The last update date is 2010-08-10.
Jonathan Speare's current location address is 225 1st St N, Virginia, Minnesota. You can contact this provider via phone number 2187413740. The mailing address for Jonathan Speare is 225 1st St N, Virginia, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Speare |
|---|---|
| Address | 225 1st St N, Virginia, Minnesota |
| Phone Number | 2187413740 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD LICENS |
NPI Number Detail
| NPI Number | 1962537282 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2010-08-10 |
Provider Mailing Address Detail
| Address | 225 1st St N |
|---|---|
| City | Virginia |
| State | Minnesota (MN) |
| Post Code | 557922457 |
| Phone Number | 2187413740 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP0655 |
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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 |
|---|---|---|---|
| 74048 | MN | VALUE OPTIONS | |
| 100318 | MN | PREFERRED ONE | |
| 110500 | MN | UCARE | |
| 8L597SP | MN | BCBS | |
| 512001 | MN | MAGELLAN | |
| 6101470 | MN | UNITED BEHAVIORAL HEALTH | |
| 850347800 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jonathan Speare by the Centers for Medicare & Medicaid Services?
The Jonathan Speare has been assigned the NPI (National Provider Identifier) 1962537282 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Jonathan Speare's facilities are geographically located?
The facilities of Jonathan Speare are physically situated at the following location: 225 1St St N, Virginia, MN, 557922457.
What is the area of specialization for Jonathan Speare, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jonathan Speare is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When was the Jonathan Speare's 1962537282 issued?
The Jonathan Speare's 1962537282 was issued on 2007-02-23.
When was the information related to Jonathan Speare most recently updated or refreshed?
The details pertaining to the Jonathan Speare, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-08-10.
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