Deborah Jean Clemmensen in Minnetonka - Clinical Child & Adolescent
Deborah Jean Clemmensen - NPI 1992711154
Deborah Jean Clemmensen is a Clinical Child & Adolescent in Minnetonka, Minnesota. Deborah Jean Clemmensen practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Deborah Jean Clemmensen is 1992711154. The last update date is 2007-07-08.
Deborah Jean Clemmensen's current location address is 10520 Wayzata Blvd, Minnetonka, Minnesota. You can contact this provider via phone number 9527670190 and fax number 9525443401. The mailing address for Deborah Jean Clemmensen is 10520 Wayzata Blvd, Minnetonka, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah Jean Clemmensen |
|---|---|
| Address | 10520 Wayzata Blvd, Minnetonka, Minnesota |
| Phone Number | 9527670190 |
| Fax Number | 9525443401 |
| Sole Proprietor | Y |
| Credentials | M.EQ. |
NPI Number Detail
| NPI Number | 1992711154 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10520 Wayzata Blvd |
|---|---|
| City | Minnetonka |
| State | Minnesota (MN) |
| Post Code | 553051511 |
| Phone Number | 9527670190 |
| Fax Number | 9525443401 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | LP2635 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Post Comment/ Review Below
What is the unique identifier code issued to Deborah Jean Clemmensen by the Centers for Medicare & Medicaid Services?
The Deborah Jean Clemmensen has been assigned the NPI (National Provider Identifier) 1992711154. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Deborah Jean Clemmensen is geographically located?
The Deborah Jean Clemmensen is physically situated at the following location: 10520 Wayzata Blvd, Minnetonka, MN, 553051511.
What is the area of specialization for Deborah Jean Clemmensen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Deborah Jean Clemmensen is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.
On what date did the Deborah Jean Clemmensen receive its 1992711154 assignment from the Centers for Medicare & Medicaid Services?
The Deborah Jean Clemmensen was assigned its 1992711154 by the Centers for Medicare & Medicaid Services on 2006-07-31.
As of what date was the information regarding Deborah Jean Clemmensen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Deborah Jean Clemmensen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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