Laurie Ann Brustad Kennedy in Grand Forks - Clinical
Laurie Ann Brustad Kennedy - NPI 1326169921
Laurie Ann Brustad Kennedy is a Clinical in Grand Forks, North Dakota. Laurie Ann Brustad Kennedy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laurie Ann Brustad Kennedy is 1326169921. The last update date is 2007-07-08.
Laurie Ann Brustad Kennedy's current location address is 600 Demers Ave, Grand Forks, North Dakota. You can contact this provider via phone number 7017464400 and fax number 7017466034. The mailing address for Laurie Ann Brustad Kennedy is 600 Demers Ave, Grand Forks, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laurie Ann Brustad Kennedy |
|---|---|
| Address | 600 Demers Ave, Grand Forks, North Dakota |
| Phone Number | 7017464400 |
| Fax Number | 7017466034 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1326169921 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 600 Demers Ave |
|---|---|
| City | Grand Forks |
| State | North Dakota (ND) |
| Post Code | 582014599 |
| Phone Number | 7017464400 |
| Fax Number | 7017466034 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 222 |
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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 |
|---|---|---|---|
| 88174 | VALUE OPTIONS | ||
| BRU21835 | ND | BCBSND | |
| HP1672 | HEALTH PARTNERS | ||
| 11915 | ND | -- | |
| 308J3BR | MN | BCBSMN | |
| 308J3BR | MN | BLUE PLUS | |
| 204771047933 | PREFERRED ONE | ||
| 5721265 | FIRST HEALTH | ||
| A002 | TRICARE |
Post Comment/ Review Below
What is the Laurie Ann Brustad Kennedy's unique identification number?
The Laurie Ann Brustad Kennedy has been assigned the NPI (National Provider Identifier) Number 1326169921 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Laurie Ann Brustad Kennedy's facilities are situated?
The facilities of Laurie Ann Brustad Kennedy are physically located at the following address: 600 Demers Ave, Grand Forks, ND, 582014599.
What is Laurie Ann Brustad Kennedy's area of expertise and its corresponding taxonomy classification?
The Laurie Ann Brustad Kennedy'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 Laurie Ann Brustad Kennedy receive its 1326169921 assignment?
The Laurie Ann Brustad Kennedy was assigned its 1326169921 on 2007-04-02, which is the date when this unique identifier was issued to the organization.
When was the information related to Laurie Ann Brustad Kennedy most recently updated or refreshed?
The details pertaining to the Laurie Ann Brustad Kennedy, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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