Judy Tiesel in Edina - Family

Judy Tiesel - NPI 1467664359

Judy Tiesel is a Family in Edina, Minnesota. Judy Tiesel practices all healthcare services and medical treatments related to Family. The NPI Number for Judy Tiesel is 1467664359. The last update date is 2007-07-08.

Judy Tiesel's current location address is 7400 Metro Blvd, Edina, Minnesota. You can contact this provider via phone number 9528356950 and fax number 9528350072. The mailing address for Judy Tiesel is 7400 Metro Blvd, Edina, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Judy Tiesel
Address 7400 Metro Blvd, Edina, Minnesota
Phone Number 9528356950
Fax Number 9528350072
Sole Proprietor Y
Credentials PH.D

NPI Number Detail

NPI Number 1467664359
Provider Enumeration Date 2007-05-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7400 Metro Blvd
City Edina
State Minnesota (MN)
Post Code 554392316
Phone Number 9528356950
Fax Number 9528350072

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 103Tf0000X
Licence No 3280
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
8H911T1 MN BLUE CROSS-BLUESHIELD
6299691 MN --

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FAQs about Judy Tiesel

What is the unique 10-digit identifier code issued to Judy Tiesel by the Centers for Medicare & Medicaid Services?

The Judy Tiesel has been assigned the NPI (National Provider Identifier) 1467664359 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Judy Tiesel's facilities are situated?

The facilities of Judy Tiesel are physically located at the following address: 7400 Metro Blvd, Edina, MN, 554392316.

What is Judy Tiesel's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Judy Tiesel is Family, and the taxonomy classification code that categorizes this area of expertise is 103Tf0000X.

On what date was the 1467664359 assigned to Judy Tiesel?

The Judy Tiesel was issued its 1467664359 on 2007-05-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Judy Tiesel's information last updated?

The Judy Tiesel's information was last updated on 2007-07-08.

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