Beverly J Gunderson in Sioux Falls - Clinical Child & Adolescent
Beverly J Gunderson - NPI 1124090642
Beverly J Gunderson is a Clinical Child & Adolescent in Sioux Falls, South Dakota. Beverly J Gunderson practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Beverly J Gunderson is 1124090642. The last update date is 2018-10-11.
Beverly J Gunderson's current location address is Po Box 86370, Sioux Falls, South Dakota. You can contact this provider via phone number 6053227510 and fax number 6053226475. The mailing address for Beverly J Gunderson is Po Box 86370, Sioux Falls, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly J Gunderson |
|---|---|
| Address | Po Box 86370, Sioux Falls, South Dakota |
| Phone Number | 6053227510 |
| Fax Number | 6053226475 |
| Sole Proprietor | N |
| Credentials | ED.D. |
NPI Number Detail
| NPI Number | 1124090642 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| Last Updated Date | 2018-10-11 |
Provider Mailing Address Detail
| Address | Po Box 86370 |
|---|---|
| City | Sioux Falls |
| State | South Dakota (SD) |
| Post Code | 571186370 |
| Phone Number | 6053227510 |
| Fax Number | 6053226475 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 195 |
|
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 |
|---|---|---|---|
| 680015878 | SD | RR MEDICARE | |
| P195 | SD | DAKOTACARE | |
| 12200 | ND | -- | |
| 412991028090 | SD | PREFERRED ONE | |
| 581816800 | MN | -- | |
| 596332 | SD | ARAZ/ AMERICA'S PPO | |
| 40121002 | MN | PRIMEWEST | |
| 10635 | SD | MIDLANDS CHOICE | |
| 57108C025 | SD | WPS TRICARE | |
| 46022474352 | NE | -- |
Post Comment/ Review Below
What is the Beverly J Gunderson's 1124090642?
The Beverly J Gunderson's NPI (National Provider Identifier) Number is 1124090642. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Beverly J Gunderson is physically located?
The Beverly J Gunderson is physically situated at the following address: Po Box 86370, Sioux Falls, SD, 571186370.
What is the Beverly J Gunderson's area of specialization and corresponding taxonomy classification?
The Beverly J Gunderson's specialty field is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their specialties.
On what date did the Beverly J Gunderson receive the assignment of its 1124090642 from the Centers for Medicare & Medicaid Services?
The Beverly J Gunderson was issued its 1124090642 by the Centers for Medicare & Medicaid Services on 2006-02-07.
When was the Beverly J Gunderson's information last updated?
The Beverly J Gunderson's information was last updated on 2018-10-11.
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