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WOLFRAM ASSOCIATES LTD. NPI 1679664254


NPI Information

NPI: 1679664254
Provider Name: WOLFRAM ASSOCIATES, LTD.
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
2700 1ST ST N
SUITE 209
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 420-1146
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WOLFRAM ASSOCIATES, LTD. is a clinical psychologist in Saint Cloud, MN. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. WOLFRAM ASSOCIATES, LTD. NPI is 1679664254. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2700 1ST ST N
SUITE 209
SAINT CLOUD, MN
ZIP 56303-256
Phone: (320) 420-1146
Fax: (320) 258-4380

The provider's authorized official is Timothy J. Wolfram .
The authorized official title is President and has the following contact phone number (320) 420-1146.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 9/7/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistLP3758MINNESOTANo
2103TC0700XPsychologistClinicalLP3758MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11014973OTHERPREFERREDONE
2101219OTHERHEALTH PARTNERS
36102104OTHERUNITED BEHAVIORAL HEALTH
4680001909MEDICARE ID-TYPE UNSPECIFIED
5174708800MEDICAIDMINNESOTA
671Q68WOOTHERBLUECROSS BLUESHIELD
771Q69WOOTHERBLUECROSS BLUESHIELD
8CO3674MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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