DAVID EARL HILDEBRANDT


Address: 100 Martin Luther King Dr, Mankato, MN 56001-6275
Phone: 5073856574

DAVID EARL HILDEBRANDT (NPI# 1093886673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093886673
Entity Type Individual
Full Name DAVID EARL HILDEBRANDT
Credential PH.D.
Practice Address 100 Martin Luther King Dr
Mankato
MN 56001-6275
Practice Telephone 5073856574
Practice Fax Number 5073856511
Mailing Telephone 5073856574
Mailing Fax Number 5073856511
Enumeration Date 2006-11-13
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
LP4747 MN Behavioral Health & Social Service Providers

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Office Location

Street Address 100 MARTIN LUTHER KING DR
City MANKATO
State MN
Zip Code 56001-6275

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417365057 Adam Anderson, Phd, Clinical Psychologist, LLC Psychologist 11 Civic Center Plz Ste 201, Mankato, MN 56001-7718 2014-07-28
1124297213 George V Komaridis Psychologist 12 Civic Center Plz, Suite 2090, Mankato, MN 56001-7781 2008-02-22
1326216169 Philip Psychological Clinic Psychologist 510 Sibley Street, Suite 200, Mankato, MN 56001 2008-02-14
1750586517 Ponrelil Philipose Philip Psychologist 103 North Broad Street, Mankato, MN 56001 2007-06-20
1235273624 Jacquelyn Marie Jauss Psychologist 11 Civic Center Plz, Suite 201, Mankato, MN 56001-7710 2007-02-18
1912938275 Eric Sprankle Psychologist 1600 Warren St, Suite 6, Mankato, MN 56001-5197 2006-07-05
1063463347 Theodore Surdy Psychologist 1207 Caledonia St, Mankato, MN 56001-4329 2006-05-12
1043298060 Theresa L Gunderson Psychologist Madison East Center, Suite 352 Mankato Clinic Department of Psychiatry, Mankato, MN 56001 2006-01-09
1932106606 Kathleen Christensen Psychologist 1400 Madison Ave Ste 628, Mankato, MN 56001-5488 2005-07-07
1104394212 Tyler Maxwell Dority Psychologist 12 Civic Center Plz Ste 1615, Mankato, MN 56001-7783 2018-11-06
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Competitor

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City MANKATO
Zip Code 56001

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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