Stephen A Wonderlich in Fargo - Psychoanalysis

Stephen A Wonderlich - NPI 1962423202

Stephen A Wonderlich is a Psychoanalysis in Fargo, North Dakota. Stephen A Wonderlich practices all healthcare services and medical treatments related to Psychoanalysis. The NPI Number for Stephen A Wonderlich is 1962423202. The last update date is 2008-11-10.

Stephen A Wonderlich's current location address is 100 4th St S, Fargo, North Dakota. You can contact this provider via phone number 7012344111 and fax number 7012344130. The mailing address for Stephen A Wonderlich is 100 4th St S, Fargo, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen A Wonderlich
Address 100 4th St S, Fargo, North Dakota
Phone Number 7012344111
Fax Number 7012344130
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1962423202
Provider Enumeration Date 2006-07-22
Last Updated Date 2008-11-10

Provider Mailing Address Detail

Address 100 4th St S
City Fargo
State North Dakota (ND)
Post Code 581031929
Phone Number 7012344111
Fax Number 7012344130

Provider's Primary Taxonomy Detail

Speciality Psychoanalysis
Taxonomy 103Tp0814X
Licence No 187
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
16965 ND --
14550500 MN --

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FAQs about Stephen A Wonderlich

What is the unique 10-digit identification code assigned to Stephen A Wonderlich by the Centers for Medicare & Medicaid Services?

The Stephen A Wonderlich has been issued the NPI (National Provider Identifier) 1962423202, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Stephen A Wonderlich?

The Stephen A Wonderlich is situated at 100 4Th St S, in the city of Fargo, state of ND, with the zip code 581031929.

What is the Stephen A Wonderlich's specialty and taxonomy code?

The Stephen A Wonderlich's specialty is Psychoanalysis, and the corresponding taxonomy code is 103Tp0814X.

On what date did the Stephen A Wonderlich receive the assignment of its 1962423202 from the Centers for Medicare & Medicaid Services?

The Stephen A Wonderlich was issued its 1962423202 by the Centers for Medicare & Medicaid Services on 2006-07-22.

When was the information regarding Stephen A Wonderlich, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Stephen A Wonderlich, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-11-10.

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