Susan A Medo in Minneapolis - Cognitive & Behavioral
Susan A Medo - NPI 1174686216
Susan A Medo is a Cognitive & Behavioral in Minneapolis, Minnesota. Susan A Medo practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Susan A Medo is 1174686216. The last update date is 2008-10-17.
Susan A Medo's current location address is 2530 1st Ave S, Minneapolis, Minnesota. You can contact this provider via phone number 6122038088. The mailing address for Susan A Medo is 2530 1st Ave S, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan A Medo |
|---|---|
| Address | 2530 1st Ave S, Minneapolis, Minnesota |
| Phone Number | 6122038088 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MA LP |
NPI Number Detail
| NPI Number | 1174686216 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2008-10-17 |
Provider Mailing Address Detail
| Address | 2530 1st Ave S |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554044341 |
| Phone Number | 6122038088 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Cognitive & Behavioral |
|---|---|
| Taxonomy | 103Tb0200X |
| Licence No | LP3998 |
|
Definition: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 210D4ME | MN | BCBS | |
| 756187300 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Susan A Medo by the Centers for Medicare & Medicaid Services?
The Susan A Medo has been assigned the NPI (National Provider Identifier) 1174686216 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Susan A Medo is physically located?
The Susan A Medo is physically situated at the following address: 2530 1St Ave S, Minneapolis, MN, 554044341.
What is Susan A Medo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan A Medo's area of specialization is Cognitive & Behavioral, and the corresponding taxonomy code that categorizes this field of practice is 103Tb0200X.
When was the Susan A Medo's 1174686216 issued?
The Susan A Medo's 1174686216 was issued on 2006-12-19.
When was the Susan A Medo's information last updated?
The Susan A Medo's information was last updated on 2008-10-17.