Truitt, Nan C
Truitt, Nan C is an individual health care provider with primary practice located at 265 Phalen Blvd , Saint Paul MN 55130-2400. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Truitt, Nan C can be contacted via phone (651) 495-6603.Contact Information
Primary practice address
265 Phalen Blvd
Saint Paul MN 55130-2400
Phone: (651) 495-6603
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 593 | Alaska |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 593 | Alaska |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 593 | Alaska |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 593 | Alaska |
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | 593 | Alaska |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 5880 | Minnesota |
Profile Details
| NPI number | 1629150479 |
|---|---|
| LBN Legal business name | Truitt, Nan C |
| Credentials | PH.D., LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Oct 4th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629150479 | NPPES |
| Alaska | MEDICAID | 1029222 |
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