Paul B Revland is a Psychoanalysis in Fargo, North Dakota. Paul B Revland practices all healthcare services and medical treatments related to Psychoanalysis. The NPI Number for Paul B Revland is 1629265814. The last update date is 2008-03-25.
Paul B Revland's current location address is 1720 University Dr S, Fargo, North Dakota. You can contact this provider via phone number 7012344171 and fax number 7014615649. The mailing address for Paul B Revland is 1720 University Dr S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul B Revland |
|---|---|
| Address | 1720 University Dr S, Fargo, North Dakota |
| Phone Number | 7012344171 |
| Fax Number | 7014615649 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1629265814 |
|---|---|
| Provider Enumeration Date | 2007-10-02 |
| Last Updated Date | 2008-03-25 |
Provider Mailing Address Detail
| Address | 1720 University Dr S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581034940 |
| Phone Number | 7012344171 |
| Fax Number | 7014615649 |
Provider's Primary Taxonomy Detail
| Speciality | Psychoanalysis |
|---|---|
| Taxonomy | 103Tp0814X |
| Licence No | 401 |
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Definition: A psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of un |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14438 | ND | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Paul B Revland by the Centers for Medicare & Medicaid Services (CMS)?
The Paul B Revland has been assigned the NPI (National Provider Identifier) 1629265814. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Paul B Revland located?
The Paul B Revland is located at 1720 University Dr S, Fargo, ND 581034940.
What is Paul B Revland's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Paul B Revland is Psychoanalysis, and the taxonomy code that classifies this field of practice is 103Tp0814X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629265814 to Paul B Revland?
The Paul B Revland received its 1629265814 assignment from the Centers for Medicare & Medicaid Services on 2007-10-02.
When was the Paul B Revland's information last updated?
The Paul B Revland's information was last updated on 2008-03-25.