Mavis Rice in Eden Prairie - Group Psychotherapy

Mavis Rice - NPI 1790869121

Mavis Rice is a Group Psychotherapy in Eden Prairie, Minnesota. Mavis Rice practices all healthcare services and medical treatments related to Group Psychotherapy. The NPI Number for Mavis Rice is 1790869121. The last update date is 2007-07-09.

Mavis Rice's current location address is 6542 Regency Lane, Eden Prairie, Minnesota. You can contact this provider via phone number 9527367136 and fax number 9529039257. The mailing address for Mavis Rice is 6542 Regency Lane, Eden Prairie, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Mavis Rice
Address 6542 Regency Lane, Eden Prairie, Minnesota
Phone Number 9527367136
Fax Number 9529039257
Sole Proprietor N
Credentials MA LP

NPI Number Detail

NPI Number 1790869121
Provider Enumeration Date 2006-10-24
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 6542 Regency Lane
City Eden Prairie
State Minnesota (MN)
Post Code 55344
Phone Number 9527367136
Fax Number 9529039257

Provider's Primary Taxonomy Detail

Speciality Group Psychotherapy
Taxonomy 103Tp2701X
Licence No LP4004
Definition:
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
62-50536 MN MEDICA/UBH
HP50743 FM HEALTHPARTNERS
386981400 MN --
39Q41BU MN BCBS GROUP
83G85K1 MN BCBS INDIVIDUAL
167373 MN U CARE
30433-01 MN PREFERREDONE (BPH)

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FAQs about Mavis Rice

What is the unique 10-digit identifier code assigned to Mavis Rice by the Centers for Medicare & Medicaid Services?

The Mavis Rice has been issued the NPI (National Provider Identifier) 1790869121 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Mavis Rice is located?

The Mavis Rice is situated at the following address: 6542 Regency Lane, Eden Prairie, MN, 55344.

What is Mavis Rice's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mavis Rice is Group Psychotherapy, and the taxonomy code that classifies this field of practice is 103Tp2701X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1790869121 to Mavis Rice?

The Centers for Medicare & Medicaid Services originally issued the 1790869121 to Mavis Rice on 2006-10-24.

As of what date was the information regarding Mavis Rice, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mavis Rice, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.

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