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NPI Code Detail

MEDICARE: DR. LINDA N OAKES PH.D. LP

MEDICARE: DR. LINDA N OAKES PH.D. LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist2551MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295840908
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA N OAKES PH.D. LP
Provider Business Mailing Address
First Line : 5821 CEDAR LAKE RD S
Second Line :
City : ST LOUIS PARK
State : MN
Zip : 55416-1487
Country : US
Telephone Number : 651-647-1900
Fax Number : 651-647-1861
Provider Business Practice Location Address
First Line : 5821 CEDAR LAKE RD S
Second Line :
City : ST LOUIS PARK
State : MN
Zip : 55416-1487
Country : US
Telephone Number : 651-647-1900
Fax Number : 651-647-1861
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 04/20/2017

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