Erica Eccles-Radtke in Minneapolis - Psychologist
Erica Eccles-Radtke - NPI 1073792008
Erica Eccles-Radtke is a Psychologist in Minneapolis, Minnesota. Erica Eccles-Radtke practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Erica Eccles-Radtke is 1073792008. The last update date is 2015-03-19.
Erica Eccles-Radtke's current location address is 8170 33rd Ave S - Po Box 1309, Minneapolis, Minnesota. You can contact this provider via phone number 6515522600 and fax number 6515522614. The mailing address for Erica Eccles-Radtke is 8170 33rd Ave S - Po Box 1309, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Erica Eccles-Radtke |
|---|---|
| Address | 8170 33rd Ave S - Po Box 1309, Minneapolis, Minnesota |
| Phone Number | 6515522600 |
| Fax Number | 6515522614 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1073792008 |
|---|---|
| Provider Enumeration Date | 2007-10-26 |
| Last Updated Date | 2015-03-19 |
Provider Mailing Address Detail
| Address | 8170 33rd Ave S - Po Box 1309 |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554254516 |
| Phone Number | 6515522600 |
| Fax Number | 6515522614 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP 5562 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Post Comment/ Review Below
What is the unique identifier code issued to Erica Eccles-Radtke by the Centers for Medicare & Medicaid Services (CMS)?
The Erica Eccles-Radtke has been assigned the NPI (National Provider Identifier) 1073792008. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Erica Eccles-Radtke?
The Erica Eccles-Radtke is situated at 8170 33Rd Ave S - Po Box 1309, in the city of Minneapolis, state of MN, with the zip code 554254516.
What is the area of specialization for Erica Eccles-Radtke, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Erica Eccles-Radtke is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Erica Eccles-Radtke receive the assignment of its 1073792008 from the Centers for Medicare & Medicaid Services?
The Erica Eccles-Radtke was issued its 1073792008 by the Centers for Medicare & Medicaid Services on 2007-10-26.
When was the information regarding Erica Eccles-Radtke most recently updated?
The details pertaining to the Erica Eccles-Radtke, including its address, specialty, and other relevant information, were last refreshed on 2015-03-19.
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