Stephan Podrygula is a Clinical in Minot, North Dakota. Stephan Podrygula practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stephan Podrygula is 1205821527. The last update date is 2009-02-27.
Stephan Podrygula's current location address is 600 22nd Ave Nw, Minot, North Dakota. You can contact this provider via phone number 7018529113 and fax number 7018380779. The mailing address for Stephan Podrygula is 600 22nd Ave Nw, Minot, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephan Podrygula |
|---|---|
| Address | 600 22nd Ave Nw, Minot, North Dakota |
| Phone Number | 7018529113 |
| Fax Number | 7018380779 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1205821527 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2009-02-27 |
Provider Mailing Address Detail
| Address | 600 22nd Ave Nw |
|---|---|
| City | Minot |
| State | North Dakota (ND) |
| Post Code | 587030986 |
| Phone Number | 7018529113 |
| Fax Number | 7018380779 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 136 |
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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 |
|---|---|---|---|
| POD5241 | ND | BLUE CROSS BLUE SHIELD | |
| 16946 | ND | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stephan Podrygula by the Centers for Medicare & Medicaid Services?
The Stephan Podrygula has been issued the NPI (National Provider Identifier) 1205821527, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Stephan Podrygula?
The Stephan Podrygula is physically situated at 600 22Nd Ave Nw, in the city of Minot, state of ND, with the postal code 587030986.
What is the Stephan Podrygula's specialty and taxonomy code?
The Stephan Podrygula's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When was the Stephan Podrygula's 1205821527 issued?
The Stephan Podrygula's 1205821527 was issued on 2005-09-13.
When was the information pertaining to Stephan Podrygula most recently updated or revised?
The details related to Stephan Podrygula, including its address, specialty, and other relevant information, were last updated or revised on 2009-02-27.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH