Merriam Park Psychological Services, Pa in St. Paul - Psychologist

Merriam Park Psychological Services, Pa - NPI 1194937623

Merriam Park Psychological Services, Pa is a Psychologist in St. Paul, Minnesota. Merriam Park Psychological Services, Pa practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Merriam Park Psychological Services, Pa is 1194937623. The last update date is 2010-05-26.

Merriam Park Psychological Services, Pa's current location address is 1678 Selby Avenue, St. Paul, Minnesota. You can contact this provider via phone number 6516475722 and fax number 6516475723. The mailing address for Merriam Park Psychological Services, Pa is 1678 Selby Avenue, St. Paul, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Merriam Park Psychological Services, Pa
Address 1678 Selby Avenue, St. Paul, Minnesota
Phone Number 6516475722
Fax Number 6516475723
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PSYCHOLOGI
Authorized Official Name Maule-Kronmiller C Alison
Telephone Number 6516475722

NPI Number Detail

NPI Number 1194937623
Provider Enumeration Date 2007-05-04
Last Updated Date 2010-05-26

Provider Mailing Address Detail

Address 1678 Selby Avenue
City St. Paul
State Minnesota (MN)
Post Code 55104
Phone Number 6516475722
Fax Number 6516475723

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
826823100 MN MEDICAL ASSISTANCE
01H82MA MN BCBS GROUP PROVIDER #
01H83MA MN BCBS IND. PROVIDER #
107019 MN UCARE
6126079 MN UBH
1016735 MN PREFERRED ONE
6126079 MN MEDICA

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FAQs about Merriam Park Psychological Services, Pa

What is the unique identification code assigned to Merriam Park Psychological Services, Pa by the Centers for Medicare & Medicaid Services?

The Merriam Park Psychological Services, Pa has been issued the NPI (National Provider Identifier) 1194937623. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Merriam Park Psychological Services, Pa is physically located?

The Merriam Park Psychological Services, Pa is physically situated at the following address: 1678 Selby Avenue, St. Paul, MN, 55104.

What is Merriam Park Psychological Services, Pa's specialized field of practice, and what is the corresponding taxonomy classification code?

The Merriam Park Psychological Services, Pa's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1194937623 to Merriam Park Psychological Services, Pa?

The Merriam Park Psychological Services, Pa received its 1194937623 assignment from the Centers for Medicare & Medicaid Services on 2007-05-04.

As of what date were the details related to Merriam Park Psychological Services, Pa most recently updated or revised?

The information pertaining to Merriam Park Psychological Services, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2010-05-26.

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