Richard Puckett in Grand Rapids - Counseling
Richard Puckett - NPI 1639275761
Richard Puckett is a Counseling in Grand Rapids, Minnesota. Richard Puckett practices all healthcare services and medical treatments related to Counseling. The NPI Number for Richard Puckett is 1639275761. The last update date is 2007-07-09.
Richard Puckett's current location address is 2618 Emerald Dr, Grand Rapids, Minnesota. You can contact this provider via phone number 2183279013 and fax number 2183279013. The mailing address for Richard Puckett is 2618 Emerald Dr, Grand Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Puckett |
|---|---|
| Address | 2618 Emerald Dr, Grand Rapids, Minnesota |
| Phone Number | 2183279013 |
| Fax Number | 2183279013 |
| Sole Proprietor | N |
| Credentials | LPMED |
NPI Number Detail
| NPI Number | 1639275761 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2618 Emerald Dr |
|---|---|
| City | Grand Rapids |
| State | Minnesota (MN) |
| Post Code | 557445060 |
| Phone Number | 2183279013 |
| Fax Number | 2183279013 |
Provider's Primary Taxonomy Detail
| Speciality | Counseling |
|---|---|
| Taxonomy | 103Tc1900X |
| Licence No | 1835 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 223G6PU | MN | BLUE CROSS BLUE SHIELD MN | |
| 6254190 | MN | MEDICA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Richard Puckett by the Centers for Medicare & Medicaid Services?
The Richard Puckett has been assigned the NPI (National Provider Identifier) 1639275761 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Richard Puckett located?
The Richard Puckett is located at 2618 Emerald Dr, Grand Rapids, MN 557445060.
What is the Richard Puckett's area of specialization and corresponding taxonomy classification?
The Richard Puckett's specialty field is Counseling, and it falls under the taxonomy code 103Tc1900X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639275761 to Richard Puckett?
The Centers for Medicare & Medicaid Services originally issued the 1639275761 to Richard Puckett on 2006-09-16.
When was the information regarding Richard Puckett most recently updated?
The details pertaining to the Richard Puckett, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.