Bruce Lee Bakke in Brooklyn Center - Adult Development & Aging
Bruce Lee Bakke - NPI 1184767675
Bruce Lee Bakke is a Adult Development & Aging in Brooklyn Center, Minnesota. Bruce Lee Bakke practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Bruce Lee Bakke is 1184767675. The last update date is 2010-06-22.
Bruce Lee Bakke's current location address is 3300 County Road 10, Brooklyn Center, Minnesota. You can contact this provider via phone number 7635608331 and fax number 7635608431. The mailing address for Bruce Lee Bakke is 3300 County Road 10, Brooklyn Center, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Lee Bakke |
|---|---|
| Address | 3300 County Road 10, Brooklyn Center, Minnesota |
| Phone Number | 7635608331 |
| Fax Number | 7635608431 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1184767675 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2010-06-22 |
Provider Mailing Address Detail
| Address | 3300 County Road 10 |
|---|---|
| City | Brooklyn Center |
| State | Minnesota (MN) |
| Post Code | 554293072 |
| Phone Number | 7635608331 |
| Fax Number | 7635608431 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Development & Aging |
|---|---|
| Taxonomy | 103Ta0700X |
| Licence No | LP2204 |
|
Definition: A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 866750100 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bruce Lee Bakke by the Centers for Medicare & Medicaid Services?
The Bruce Lee Bakke has been assigned the NPI (National Provider Identifier) 1184767675 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Bruce Lee Bakke is located?
The Bruce Lee Bakke is situated at the following address: 3300 County Road 10, Brooklyn Center, MN, 554293072.
What is Bruce Lee Bakke's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bruce Lee Bakke's area of specialization is Adult Development & Aging, and the corresponding taxonomy code that categorizes this field of practice is 103Ta0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184767675 to Bruce Lee Bakke?
The Centers for Medicare & Medicaid Services assigned the 1184767675 to Bruce Lee Bakke on 2007-02-14.
When was the information regarding Bruce Lee Bakke, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bruce Lee Bakke, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-06-22.
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