James Stanley Prijatel in Saint Cloud - Clinical Child & Adolescent

James Stanley Prijatel - NPI 1194709436

James Stanley Prijatel is a Clinical Child & Adolescent in Saint Cloud, Minnesota. James Stanley Prijatel practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for James Stanley Prijatel is 1194709436. The last update date is 2007-07-08.

James Stanley Prijatel's current location address is 600 25th Ave S, Saint Cloud, Minnesota. You can contact this provider via phone number 3202550343 and fax number 3206540318. The mailing address for James Stanley Prijatel is 600 25th Ave S, Saint Cloud, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name James Stanley Prijatel
Address 600 25th Ave S, Saint Cloud, Minnesota
Phone Number 3202550343
Fax Number 3206540318
Sole Proprietor X
Credentials MS

NPI Number Detail

NPI Number 1194709436
Provider Enumeration Date 2005-11-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 600 25th Ave S
City Saint Cloud
State Minnesota (MN)
Post Code 563014841
Phone Number 3202550343
Fax Number 3206540318

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No LP2547
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
0268PR BLUE PLUS
56294PR BCBS
6242632 UBH
18800381 MMSI
484160 VALUE OPTIONS
6242632 MEDICA

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FAQs about James Stanley Prijatel

What is the unique 10-digit identifier code assigned to James Stanley Prijatel by the Centers for Medicare & Medicaid Services?

The James Stanley Prijatel has been issued the NPI (National Provider Identifier) 1194709436 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 James Stanley Prijatel is located?

The James Stanley Prijatel is situated at the following address: 600 25Th Ave S, Saint Cloud, MN, 563014841.

What is the James Stanley Prijatel's specialty and taxonomy code?

The James Stanley Prijatel's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.

On what date did the James Stanley Prijatel receive its 1194709436 assignment from the Centers for Medicare & Medicaid Services?

The James Stanley Prijatel was assigned its 1194709436 by the Centers for Medicare & Medicaid Services on 2005-11-30.

As of what date were the details related to James Stanley Prijatel most recently updated or revised?

The information pertaining to James Stanley Prijatel, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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