Anoka Psychological Services, Pa in Coon Rapids - Family
Anoka Psychological Services, Pa - NPI 1730302894
Anoka Psychological Services, Pa is a Family in Coon Rapids, Minnesota. Anoka Psychological Services, Pa practices all healthcare services and medical treatments related to Family. The NPI Number for Anoka Psychological Services, Pa is 1730302894. The last update date is 2020-08-22.
Anoka Psychological Services, Pa's current location address is 11427 Hanson Blvd Nw, Coon Rapids, Minnesota. You can contact this provider via phone number 7637541531 and fax number 7637543155. The mailing address for Anoka Psychological Services, Pa is 11427 Hanson Blvd Nw, Coon Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Anoka Psychological Services, Pa |
|---|---|
| Address | 11427 Hanson Blvd Nw, Coon Rapids, Minnesota |
| Phone Number | 7637541531 |
| Fax Number | 7637543155 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Gordon M Dianne |
| Credentials | LICSW |
| Telephone Number | 7637541531 |
NPI Number Detail
| NPI Number | 1730302894 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 11427 Hanson Blvd Nw |
|---|---|
| City | Coon Rapids |
| State | Minnesota (MN) |
| Post Code | 554333719 |
| Phone Number | 7637541531 |
| Fax Number | 7637543155 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 103Tf0000X |
| Licence No | 3751 |
|
Definition: A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 402G3AN | BCBS | ||
| 401G6AN | BCBS | ||
| 110367 | HEALTH PARTNERS |
Post Comment/ Review Below
What is the Anoka Psychological Services, Pa's 1730302894?
The Anoka Psychological Services, Pa's NPI (National Provider Identifier) Number is 1730302894. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Anoka Psychological Services, Pa's facilities are geographically located?
The facilities of Anoka Psychological Services, Pa are physically situated at the following location: 11427 Hanson Blvd Nw, Coon Rapids, MN, 554333719.
What is Anoka Psychological Services, Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Anoka Psychological Services, Pa is Family, and the taxonomy code that classifies this field of practice is 103Tf0000X.
On what date did the Anoka Psychological Services, Pa receive the assignment of its 1730302894 from the Centers for Medicare & Medicaid Services?
The Anoka Psychological Services, Pa was issued its 1730302894 by the Centers for Medicare & Medicaid Services on 2007-04-10.
When was the information related to Anoka Psychological Services, Pa most recently updated or refreshed?
The details pertaining to the Anoka Psychological Services, Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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