Alva Dyrud in Detroit Lakes - Marriage & Family Therapist
Alva Dyrud - NPI 1871705186
Alva Dyrud is a Marriage & Family Therapist in Detroit Lakes, Minnesota. Alva Dyrud practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Alva Dyrud is 1871705186. The last update date is 2007-07-08.
Alva Dyrud's current location address is 910 Lincoln Ave, Detroit Lakes, Minnesota. You can contact this provider via phone number 2188445689 and fax number 2188445689. The mailing address for Alva Dyrud is 910 Lincoln Ave, Detroit Lakes, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Alva Dyrud |
---|---|
Address | 910 Lincoln Ave, Detroit Lakes, Minnesota |
Phone Number | 2188445689 |
Fax Number | 2188445689 |
Sole Proprietor | N |
Credentials | LMFT |
NPI Number Detail
NPI Number | 1871705186 |
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Provider Enumeration Date | 2007-05-07 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 910 Lincoln Ave |
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City | Detroit Lakes |
State | Minnesota (MN) |
Post Code | 565013500 |
Phone Number | 2188445689 |
Fax Number | 2188445689 |
Provider's Primary Taxonomy Detail
Speciality | Marriage & Family Therapist |
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Taxonomy | 106H00000X |
Licence No | 1195 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
12N24DY | MN | BCBSMN | |
HP71178 | MN | HEALTH PARTNERS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Alva Dyrud by the Centers for Medicare & Medicaid Services?
The Alva Dyrud has been issued the NPI (National Provider Identifier) 1871705186 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 Alva Dyrud is located?
The Alva Dyrud is situated at the following address: 910 Lincoln Ave, Detroit Lakes, MN, 565013500.
What is the Alva Dyrud's area of specialization and corresponding taxonomy classification?
The Alva Dyrud's specialty field is Marriage & Family Therapist, and it falls under the taxonomy code 106H00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1871705186 to Alva Dyrud?
The Centers for Medicare & Medicaid Services assigned the 1871705186 to Alva Dyrud on 2007-05-07.
As of what date were the details related to Alva Dyrud most recently updated or revised?
The information pertaining to Alva Dyrud, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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