Wayne D Samuelson in Fargo - Clinical

Wayne D Samuelson - NPI 1821068966

Wayne D Samuelson is a Clinical in Fargo, North Dakota. Wayne D Samuelson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wayne D Samuelson is 1821068966. The last update date is 2007-11-07.

Wayne D Samuelson's current location address is 1351 Page Dr S Ste 105, Fargo, North Dakota. You can contact this provider via phone number 7018933419. The mailing address for Wayne D Samuelson is 1351 Page Dr S Ste 105, Fargo, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Wayne D Samuelson
Address 1351 Page Dr S Ste 105, Fargo, North Dakota
Phone Number 7018933419
Fax Number
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1821068966
Provider Enumeration Date 2006-01-23
Last Updated Date 2007-11-07

Provider Mailing Address Detail

Address 1351 Page Dr S Ste 105
City Fargo
State North Dakota (ND)
Post Code 581033536
Phone Number 7018933419
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 75
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about Wayne D Samuelson

What is the unique provider identifier assigned to Wayne D Samuelson?

The Wayne D Samuelson has been issued the NPI (National Provider Identifier) 1821068966 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Wayne D Samuelson is physically located?

The Wayne D Samuelson is physically situated at the following address: 1351 Page Dr S Ste 105, Fargo, ND, 581033536.

What is Wayne D Samuelson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Wayne D Samuelson's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.

On what date did the Wayne D Samuelson receive the assignment of its 1821068966 from the Centers for Medicare & Medicaid Services?

The Wayne D Samuelson was issued its 1821068966 by the Centers for Medicare & Medicaid Services on 2006-01-23.

As of what date was the information regarding Wayne D Samuelson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Wayne D Samuelson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-07.

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