Randal Richard Staats in Minneapolis - Counseling

Randal Richard Staats - NPI 1760572317

Randal Richard Staats is a Counseling in Minneapolis, Minnesota. Randal Richard Staats practices all healthcare services and medical treatments related to Counseling. The NPI Number for Randal Richard Staats is 1760572317. The last update date is 2010-06-30.

Randal Richard Staats's current location address is 2414 Park Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6128795362. The mailing address for Randal Richard Staats is 2414 Park Ave, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Randal Richard Staats
Address 2414 Park Ave, Minneapolis, Minnesota
Phone Number 6128795362
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1760572317
Provider Enumeration Date 2006-10-13
Last Updated Date 2010-06-30

Provider Mailing Address Detail

Address 2414 Park Ave
City Minneapolis
State Minnesota (MN)
Post Code 554043713
Phone Number 6128795362
Fax Number

Provider's Primary Taxonomy Detail

Speciality Counseling
Taxonomy 103Tc1900X
Licence No LP3816
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
215936800 MN --

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FAQs about Randal Richard Staats

What is the unique 10-digit identification code assigned to Randal Richard Staats by the Centers for Medicare & Medicaid Services?

The Randal Richard Staats has been issued the NPI (National Provider Identifier) 1760572317, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Randal Richard Staats?

The Randal Richard Staats is situated at 2414 Park Ave, in the city of Minneapolis, state of MN, with the zip code 554043713.

What is Randal Richard Staats's specialized field of practice, and what is the corresponding taxonomy classification code?

The Randal Richard Staats's area of specialization is Counseling, and the corresponding taxonomy code that categorizes this field of practice is 103Tc1900X.

On what date did Randal Richard Staats receive its 1760572317 assignment from the Centers for Medicare & Medicaid Services?

The Randal Richard Staats was assigned its 1760572317 on 2006-10-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Randal Richard Staats's details last updated?

The information pertaining to the Randal Richard Staats, including its address, specialty, and other details, was most recently updated on 2010-06-30.

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