Victoria Ruppenthal Stachura in Bloomington - Clinical Child & Adolescent
Victoria Ruppenthal Stachura - NPI 1417960873
Victoria Ruppenthal Stachura is a Clinical Child & Adolescent in Bloomington, Minnesota. Victoria Ruppenthal Stachura practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Victoria Ruppenthal Stachura is 1417960873. The last update date is 2007-10-08.
Victoria Ruppenthal Stachura's current location address is 8100 Lea Rd, Bloomington, Minnesota. You can contact this provider via phone number 9529449864 and fax number 9529440028. The mailing address for Victoria Ruppenthal Stachura is 8100 Lea Rd, Bloomington, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Victoria Ruppenthal Stachura |
---|---|
Address | 8100 Lea Rd, Bloomington, Minnesota |
Phone Number | 9529449864 |
Fax Number | 9529440028 |
Sole Proprietor | Y |
Credentials | MA, LP |
NPI Number Detail
NPI Number | 1417960873 |
---|---|
Provider Enumeration Date | 2006-08-15 |
Last Updated Date | 2007-10-08 |
Provider Mailing Address Detail
Address | 8100 Lea Rd |
---|---|
City | Bloomington |
State | Minnesota (MN) |
Post Code | 554381260 |
Phone Number | 9529449864 |
Fax Number | 9529440028 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Child & Adolescent |
---|---|
Taxonomy | 103Tc2200X |
Licence No | LP 0855 |
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
6153777 | MN | UBH | |
61-81168 | MN | MEDICA | |
ON146ST | MN | BCBS | |
70931 | MN | UHC |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Victoria Ruppenthal Stachura by the Centers for Medicare & Medicaid Services?
The Victoria Ruppenthal Stachura has been issued the NPI (National Provider Identifier) 1417960873 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Victoria Ruppenthal Stachura is located?
The Victoria Ruppenthal Stachura is situated at the following address: 8100 Lea Rd, Bloomington, MN, 554381260.
What is Victoria Ruppenthal Stachura's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Victoria Ruppenthal Stachura is Clinical Child & Adolescent, and the corresponding taxonomy classification code for this specialized field is 103Tc2200X.
When did Victoria Ruppenthal Stachura receive its 1417960873 assignment?
The Victoria Ruppenthal Stachura was assigned its 1417960873 on 2006-08-15, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Victoria Ruppenthal Stachura most recently updated or revised?
The information pertaining to Victoria Ruppenthal Stachura, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-08.
NPI Number: 1245233907
Address: 1150 N Watters Rd, Allen, TX