Sampson Pa is a Clinical in Virginia, Minnesota. Sampson Pa practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sampson Pa is 1174738215. The last update date is 2020-08-22.
Sampson Pa's current location address is 225 1st St N, Virginia, Minnesota. You can contact this provider via phone number 2187413740. The mailing address for Sampson Pa is 225 1st St N, Virginia, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sampson Pa |
|---|---|
| Address | 225 1st St N, Virginia, Minnesota |
| Phone Number | 2187413740 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO OWNER |
|---|---|
| Authorized Official Name | Sampson N Raymond |
| Credentials | PHD LICENS |
| Telephone Number | 2182624453 |
NPI Number Detail
| NPI Number | 1174738215 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 225 1st St N |
|---|---|
| City | Virginia |
| State | Minnesota (MN) |
| Post Code | 55792 |
| Phone Number | 2187413740 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP1373 |
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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 |
|---|---|---|---|
| 6118559 | MN | UBH | |
| 8L848SA | MN | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Sampson Pa by the Centers for Medicare & Medicaid Services?
The Sampson Pa has been assigned the NPI (National Provider Identifier) 1174738215 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Sampson Pa's physical address?
The Sampson Pa is physically located at 225 1St St N, in the city of Virginia, MN, with the postal code 55792.
What is the Sampson Pa's specialty and taxonomy code?
The Sampson Pa's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Sampson Pa receive the assignment of its 1174738215 from the Centers for Medicare & Medicaid Services?
The Sampson Pa was issued its 1174738215 by the Centers for Medicare & Medicaid Services on 2007-05-11.
When was the information regarding Sampson Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Sampson Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
NPI Number: 1235130048
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