Wayne D Samuelson is a Clinical in Fargo, North Dakota. Wayne D Samuelson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wayne D Samuelson is 1821068966. The last update date is 2007-11-07.
Wayne D Samuelson's current location address is 1351 Page Dr S Ste 105, Fargo, North Dakota. You can contact this provider via phone number 7018933419. The mailing address for Wayne D Samuelson is 1351 Page Dr S Ste 105, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wayne D Samuelson |
|---|---|
| Address | 1351 Page Dr S Ste 105, Fargo, North Dakota |
| Phone Number | 7018933419 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1821068966 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2007-11-07 |
Provider Mailing Address Detail
| Address | 1351 Page Dr S Ste 105 |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581033536 |
| Phone Number | 7018933419 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 75 |
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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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What is the unique provider identifier assigned to Wayne D Samuelson?
The Wayne D Samuelson has been issued the NPI (National Provider Identifier) 1821068966 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Wayne D Samuelson is physically located?
The Wayne D Samuelson is physically situated at the following address: 1351 Page Dr S Ste 105, Fargo, ND, 581033536.
What is Wayne D Samuelson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wayne D Samuelson's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Wayne D Samuelson receive the assignment of its 1821068966 from the Centers for Medicare & Medicaid Services?
The Wayne D Samuelson was issued its 1821068966 by the Centers for Medicare & Medicaid Services on 2006-01-23.
As of what date was the information regarding Wayne D Samuelson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wayne D Samuelson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-07.
NPI Number: 1962405878
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