Jonathan E Whalen in Grand Forks - Clinical

Jonathan E Whalen - NPI 1043240914

Jonathan E Whalen is a Clinical in Grand Forks, North Dakota. Jonathan E Whalen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jonathan E Whalen is 1043240914. The last update date is 2007-07-09.

Jonathan E Whalen's current location address is 2808 17th Ave S, Grand Forks, North Dakota. You can contact this provider via phone number 7017468376 and fax number 7017469872. The mailing address for Jonathan E Whalen is 2808 17th Ave S, Grand Forks, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan E Whalen
Address 2808 17th Ave S, Grand Forks, North Dakota
Phone Number 7017468376
Fax Number 7017469872
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1043240914
Provider Enumeration Date 2006-07-04
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 2808 17th Ave S
City Grand Forks
State North Dakota (ND)
Post Code 582014010
Phone Number 7017468376
Fax Number 7017469872

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 376
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
13502 ND --

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FAQs about Jonathan E Whalen

What is the unique provider identifier assigned to Jonathan E Whalen?

The Jonathan E Whalen has been issued the NPI (National Provider Identifier) 1043240914 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Jonathan E Whalen?

The Jonathan E Whalen is situated at 2808 17Th Ave S, in the city of Grand Forks, state of ND, with the zip code 582014010.

What is Jonathan E Whalen's area of expertise and its corresponding taxonomy classification?

The Jonathan E Whalen's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.

When did the Jonathan E Whalen receive its 1043240914?

The Jonathan E Whalen was issued its 1043240914 on 2006-07-04, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Jonathan E Whalen most recently updated or revised?

The details related to Jonathan E Whalen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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