Connie L. Dittrich in Eden Prairie - Counseling
Connie L. Dittrich - NPI 1790902625
Connie L. Dittrich is a Counseling in Eden Prairie, Minnesota. Connie L. Dittrich practices all healthcare services and medical treatments related to Counseling. The NPI Number for Connie L. Dittrich is 1790902625. The last update date is 2007-07-08.
Connie L. Dittrich's current location address is 6542 Regency Lane, Eden Prairie, Minnesota. You can contact this provider via phone number 9529039250. The mailing address for Connie L. Dittrich is 6542 Regency Lane, Eden Prairie, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Connie L. Dittrich |
|---|---|
| Address | 6542 Regency Lane, Eden Prairie, Minnesota |
| Phone Number | 9529039250 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MA, LP |
NPI Number Detail
| NPI Number | 1790902625 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6542 Regency Lane |
|---|---|
| City | Eden Prairie |
| State | Minnesota (MN) |
| Post Code | 55344 |
| Phone Number | 9529039250 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counseling |
|---|---|
| Taxonomy | 103Tc1900X |
| Licence No | LP3987 |
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Definition: A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42G91DI | MN | BCBS CLINIC NUMBER | |
| 42G92DI | MN | PROVIDER PIN |
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What is the unique 10-digit identifier code issued to Connie L. Dittrich by the Centers for Medicare & Medicaid Services?
The Connie L. Dittrich has been assigned the NPI (National Provider Identifier) 1790902625 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Connie L. Dittrich?
The Connie L. Dittrich is physically situated at 6542 Regency Lane, in the city of Eden Prairie, state of MN, with the postal code 55344.
What is Connie L. Dittrich's specialized field of practice, and what is the corresponding taxonomy classification code?
The Connie L. Dittrich's area of specialization is Counseling, and the corresponding taxonomy code that categorizes this field of practice is 103Tc1900X.
When was the Connie L. Dittrich's 1790902625 issued?
The Connie L. Dittrich's 1790902625 was issued on 2007-04-20.
As of what date were the details related to Connie L. Dittrich most recently updated or revised?
The information pertaining to Connie L. Dittrich, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.