Shirley J Rader in Detroit Lakes - Counseling

Shirley J Rader - NPI 1417953951

Shirley J Rader is a Counseling in Detroit Lakes, Minnesota. Shirley J Rader practices all healthcare services and medical treatments related to Counseling. The NPI Number for Shirley J Rader is 1417953951. The last update date is 2007-07-09.

Shirley J Rader's current location address is Po Box 1594, Detroit Lakes, Minnesota. You can contact this provider via phone number 2188475401 and fax number 2185732350. The mailing address for Shirley J Rader is Po Box 1594, Detroit Lakes, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Shirley J Rader
Address Po Box 1594, Detroit Lakes, Minnesota
Phone Number 2188475401
Fax Number 2185732350
Sole Proprietor X
Credentials PHD

NPI Number Detail

NPI Number 1417953951
Provider Enumeration Date 2005-06-21
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address Po Box 1594
City Detroit Lakes
State Minnesota (MN)
Post Code 5650215940
Phone Number 2188475401
Fax Number 2185732350

Provider's Primary Taxonomy Detail

Speciality Counseling
Taxonomy 103Tc1900X
Licence No LP3342
Definition:
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health c

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
19698RAD ND ND BLUE CROSS BLUE SHIELD
1019338 MN PREFERRED ONE PROVIDER #
6G302RA MN MN BLUE CROSS BLUE SHIELD
10857 ND --

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FAQs about Shirley J Rader

What is the unique identification code assigned to Shirley J Rader by the Centers for Medicare & Medicaid Services?

The Shirley J Rader has been issued the NPI (National Provider Identifier) 1417953951. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Shirley J Rader's facilities are geographically located?

The facilities of Shirley J Rader are physically situated at the following location: Po Box 1594, Detroit Lakes, MN, 5650215940.

What is Shirley J Rader's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Shirley J Rader is Counseling, and the taxonomy code that categorizes this field of expertise is 103Tc1900X.

On what date did Shirley J Rader receive its 1417953951 assignment from the Centers for Medicare & Medicaid Services?

The Shirley J Rader was assigned its 1417953951 on 2005-06-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Shirley J Rader most recently updated?

The details pertaining to the Shirley J Rader, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.

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