Nicky Diane Bredeson in Edina - Marriage & Family Therapist
Nicky Diane Bredeson - NPI 1487717344
Nicky Diane Bredeson is a Marriage & Family Therapist in Edina, Minnesota. Nicky Diane Bredeson practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Nicky Diane Bredeson is 1487717344. The last update date is 2007-07-08.
Nicky Diane Bredeson's current location address is 4005 West 65th St, Edina, Minnesota. You can contact this provider via phone number 9529291819 and fax number 9529290022. The mailing address for Nicky Diane Bredeson is 4005 West 65th St, Edina, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicky Diane Bredeson |
|---|---|
| Address | 4005 West 65th St, Edina, Minnesota |
| Phone Number | 9529291819 |
| Fax Number | 9529290022 |
| Sole Proprietor | N |
| Credentials | LICSW LMFT |
NPI Number Detail
| NPI Number | 1487717344 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4005 West 65th St |
|---|---|
| City | Edina |
| State | Minnesota (MN) |
| Post Code | 554351700 |
| Phone Number | 9529291819 |
| Fax Number | 9529290022 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | L.M.F.T.564 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LICSW257 | MN | LICENSE NUMBER | |
| LMFT564 | MN | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Nicky Diane Bredeson by the Centers for Medicare & Medicaid Services?
The Nicky Diane Bredeson has been assigned the NPI (National Provider Identifier) 1487717344 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Nicky Diane Bredeson is geographically located?
The Nicky Diane Bredeson is physically situated at the following location: 4005 West 65Th St, Edina, MN, 554351700.
What is Nicky Diane Bredeson'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 Nicky Diane Bredeson is Marriage & Family Therapist, and the taxonomy classification code that categorizes this area of expertise is 106H00000X.
When did Nicky Diane Bredeson receive its 1487717344 assignment?
The Nicky Diane Bredeson was assigned its 1487717344 on 2006-12-19, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Nicky Diane Bredeson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Nicky Diane Bredeson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.