James W Keenan in Golden Valley - Group Psychotherapy
James W Keenan - NPI 1710147418
James W Keenan is a Group Psychotherapy in Golden Valley, Minnesota. James W Keenan practices all healthcare services and medical treatments related to Group Psychotherapy. The NPI Number for James W Keenan is 1710147418. The last update date is 2008-09-08.
James W Keenan's current location address is 820 Lilac Dr N, Golden Valley, Minnesota. You can contact this provider via phone number 6128746746 and fax number 6128746745. The mailing address for James W Keenan is 820 Lilac Dr N, Golden Valley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James W Keenan |
|---|---|
| Address | 820 Lilac Dr N, Golden Valley, Minnesota |
| Phone Number | 6128746746 |
| Fax Number | 6128746745 |
| Sole Proprietor | N |
| Credentials | MS, LP |
NPI Number Detail
| NPI Number | 1710147418 |
|---|---|
| Provider Enumeration Date | 2008-06-16 |
| Last Updated Date | 2008-09-08 |
Provider Mailing Address Detail
| Address | 820 Lilac Dr N |
|---|---|
| City | Golden Valley |
| State | Minnesota (MN) |
| Post Code | 554224700 |
| Phone Number | 6128746746 |
| Fax Number | 6128746745 |
Provider's Primary Taxonomy Detail
| Speciality | Group Psychotherapy |
|---|---|
| Taxonomy | 103Tp2701X |
| Licence No | LP3544 |
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Definition: A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 26A04KE | MN | BLUE CROSS BLUE SHIELD | |
| 118817800 | MN | -- |
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What is the unique 10-digit identifier code issued to James W Keenan by the Centers for Medicare & Medicaid Services?
The James W Keenan has been assigned the NPI (National Provider Identifier) 1710147418 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of James W Keenan?
The James W Keenan is situated at 820 Lilac Dr N, in the city of Golden Valley, state of MN, with the zip code 554224700.
What is James W Keenan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for James W Keenan is Group Psychotherapy, and the taxonomy code that categorizes this field of expertise is 103Tp2701X.
On what date did James W Keenan receive its 1710147418 assignment from the Centers for Medicare & Medicaid Services?
The James W Keenan was assigned its 1710147418 on 2008-06-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to James W Keenan most recently updated or refreshed?
The details pertaining to the James W Keenan, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-09-08.
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