Gwen Katrina Pedersen in St. Cloud - Marriage & Family Therapist
Gwen Katrina Pedersen - NPI 1902905516
Gwen Katrina Pedersen is a Marriage & Family Therapist in St. Cloud, Minnesota. Gwen Katrina Pedersen practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Gwen Katrina Pedersen is 1902905516. The last update date is 2012-10-23.
Gwen Katrina Pedersen's current location address is 2025 Stearns Way, St. Cloud, Minnesota. You can contact this provider via phone number 3202533540 and fax number 3202531475. The mailing address for Gwen Katrina Pedersen is 2025 Stearns Way, St. Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwen Katrina Pedersen |
|---|---|
| Address | 2025 Stearns Way, St. Cloud, Minnesota |
| Phone Number | 3202533540 |
| Fax Number | 3202531475 |
| Sole Proprietor | N |
| Credentials | M.S. |
NPI Number Detail
| NPI Number | 1902905516 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2012-10-23 |
Provider Mailing Address Detail
| Address | 2025 Stearns Way |
|---|---|
| City | St. Cloud |
| State | Minnesota (MN) |
| Post Code | 56303 |
| Phone Number | 3202533540 |
| Fax Number | 3202531475 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 1156 |
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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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What is the unique 10-digit identification code assigned to Gwen Katrina Pedersen by the Centers for Medicare & Medicaid Services?
The Gwen Katrina Pedersen has been issued the NPI (National Provider Identifier) 1902905516, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gwen Katrina Pedersen?
The Gwen Katrina Pedersen is physically situated at 2025 Stearns Way, in the city of St. Cloud, state of MN, with the postal code 56303.
What is Gwen Katrina Pedersen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gwen Katrina Pedersen is Marriage & Family Therapist, and the taxonomy code that categorizes this field of expertise is 106H00000X.
On what date did the Gwen Katrina Pedersen receive the assignment of its 1902905516 from the Centers for Medicare & Medicaid Services?
The Gwen Katrina Pedersen was issued its 1902905516 by the Centers for Medicare & Medicaid Services on 2006-09-21.
As of what date was the information regarding Gwen Katrina Pedersen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gwen Katrina Pedersen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-23.
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