John Armen Desteian in Saint Paul - Group Psychotherapy
John Armen Desteian - NPI 1174532279
John Armen Desteian is a Group Psychotherapy in Saint Paul, Minnesota. John Armen Desteian practices all healthcare services and medical treatments related to Group Psychotherapy. The NPI Number for John Armen Desteian is 1174532279. The last update date is 2007-07-08.
John Armen Desteian's current location address is 950 Saint Clair Ave, Saint Paul, Minnesota. You can contact this provider via phone number 6512931684 and fax number 6512931562. The mailing address for John Armen Desteian is 950 Saint Clair Ave, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Armen Desteian |
|---|---|
| Address | 950 Saint Clair Ave, Saint Paul, Minnesota |
| Phone Number | 6512931684 |
| Fax Number | 6512931562 |
| Sole Proprietor | N |
| Credentials | JD, DPSY |
NPI Number Detail
| NPI Number | 1174532279 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 950 Saint Clair Ave |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551053214 |
| Phone Number | 6512931684 |
| Fax Number | 6512931562 |
Provider's Primary Taxonomy Detail
| Speciality | Group Psychotherapy |
|---|---|
| Taxonomy | 103Tp2701X |
| Licence No | LP0485 |
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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 |
|---|---|---|---|
| 24123DE | MN | BLUECROSS&BLUE SHIELD |
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What is the unique 10-digit identification code issued to John Armen Desteian by the Centers for Medicare & Medicaid Services?
The John Armen Desteian has been assigned the NPI (National Provider Identifier) 1174532279 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of John Armen Desteian?
The John Armen Desteian is situated at 950 Saint Clair Ave, in the city of Saint Paul, state of MN, with the zip code 551053214.
What is John Armen Desteian's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John Armen Desteian is Group Psychotherapy, and the taxonomy code that categorizes this field of expertise is 103Tp2701X.
On what date did the John Armen Desteian receive its 1174532279 assignment from the Centers for Medicare & Medicaid Services?
The John Armen Desteian was assigned its 1174532279 by the Centers for Medicare & Medicaid Services on 2006-08-07.
As of what date was the information regarding John Armen Desteian, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Armen Desteian, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.