Kristine Lynn Brady in Vermillion - Clinical
Kristine Lynn Brady - NPI 1295716389
Kristine Lynn Brady is a Clinical in Vermillion, South Dakota. Kristine Lynn Brady practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kristine Lynn Brady is 1295716389. The last update date is 2008-01-24.
Kristine Lynn Brady's current location address is 110 E Main St, Vermillion, South Dakota. You can contact this provider via phone number 6056249307 and fax number 6056249308. The mailing address for Kristine Lynn Brady is 110 E Main St, Vermillion, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristine Lynn Brady |
|---|---|
| Address | 110 E Main St, Vermillion, South Dakota |
| Phone Number | 6056249307 |
| Fax Number | 6056249308 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1295716389 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2008-01-24 |
Provider Mailing Address Detail
| Address | 110 E Main St |
|---|---|
| City | Vermillion |
| State | South Dakota (SD) |
| Post Code | 570692201 |
| Phone Number | 6056249307 |
| Fax Number | 6056249308 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 455 |
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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 |
|---|---|---|---|
| 28205 | SD | SIOUX VALLEY HEALTH PLAN | |
| 4995005 | SD | BLUE CROSS/BLUE SHIELD | |
| 6552222 | SD | -- | |
| 455 | SD | DAKOTACARE |
Post Comment/ Review Below
What is the Kristine Lynn Brady's 1295716389?
The Kristine Lynn Brady's NPI (National Provider Identifier) Number is 1295716389. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kristine Lynn Brady is geographically located?
The Kristine Lynn Brady is physically situated at the following location: 110 E Main St, Vermillion, SD, 570692201.
What is Kristine Lynn Brady's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kristine Lynn Brady is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1295716389 to Kristine Lynn Brady?
The Kristine Lynn Brady received its 1295716389 assignment from the Centers for Medicare & Medicaid Services on 2005-11-07.
When was the information regarding Kristine Lynn Brady, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kristine Lynn Brady, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-01-24.