Dr. Philip D Imholte, PSYD
Psychologist, Counseling in Minneapolis, Minnesota
1740821214- Practice location
- 3259 Zarthan Ave S, Minneapolis, MN 55416-2062
- Phone
- 320-828-0864
- Fax
- —
- Last updated
- December 7, 2022
Philip David Imholte is a Psychologist, Counseling based in Minneapolis, MN. Philip David Imholte practices in Minneapolis, MN and has the professional credentials of PSYD. The NPI Number for Philip David Imholte is 1740821214 and holds a License No. 004270 (CT). The current practice location address for Philip David Imholte is 3259 Zarthan Ave S, Minneapolis, MN 55416-2062 and can be reached out via phone at 320-828-0864.
Provider Profile Details
- NPI Number
- 1740821214
- Provider Name
- Philip David Imholte
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3259 Zarthan Ave S, Minneapolis, MN 55416-2062
- Phone Number
- 320-828-0864
- Primary Taxonomy
- Psychologist, Counseling · 103TC1900X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 4, 2019
- Last Update Date
- December 7, 2022
- Certification Date
- December 7, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3259 Zarthan Ave S
Minneapolis, MN 55416-2062 - City
- Minneapolis
- State
- Minnesota
- Zip
- 55416-2062
- Phone Number
- 320-828-0864
Provider Business Mailing Address Details
- Address
- 3259 Zarthan Ave S
Minneapolis, MN 55416-2062 - City
- Minneapolis
- State
- MN
- Zip
- 55416-2062
- Phone Number
- 320-828-0864
License Information
- License Number (1)
- 004270
- License State (1)
- CT
- Taxonomy (1)
- Psychologist, Counseling · 103TC1900X
- License Number (2)
- LP6876
- License State (2)
- MN
- Taxonomy (2)
- Psychologist, Counseling · 103TC1900X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Philip D Imholte, PSYD?
The NPI number of Dr. Philip D Imholte, PSYD is 1740821214. It was assigned on October 4, 2019 and is currently active in the NPPES registry.
What is the specialty of Dr. Philip D Imholte, PSYD?
Dr. Philip D Imholte, PSYD is registered under the primary taxonomy Psychologist, Counseling (code 103TC1900X), licensed in CT under license number 004270.
Where does Dr. Philip D Imholte, PSYD practice?
The practice location is 3259 Zarthan Ave S, Minneapolis, MN 55416-2062. The office can be reached at 320-828-0864 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740821214 directly on the NPPES registry website.