Ivan Ayala, is a
Marriage & Family Therapist based in Minneapolis, Minnesota. Ivan Ayala is licensed to practice in Minnesota (license number 2837) and his current practice location is
2450 Riverside Ave, Ummc F196, Minneapolis, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(952) 892-9536.
NPI number for Ivan Ayala is 1629476973 and his current mailing address is 2450 Riverside Ave, Ummc F196, Minneapolis, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629476973.
Healthcare Provider's Profile
Full Name | Ivan Ayala |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 2450 Riverside Ave, Minneapolis, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629476973
- Provider Enumeration Date: 12/17/2014
- Last Update Date: 04/07/2017
Medical Identifiers
Medical identifiers for Ivan Ayala such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629476973 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 23335 (Minnesota) | Secondary |
106H00000X | Marriage & Family Therapist | 2837 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivan Ayala is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ivan Ayala, 2450 Riverside Ave, Ummc F196, Minneapolis, MN 55454-1450 Ph: () - | Ivan Ayala, 2450 Riverside Ave, Ummc F196, Minneapolis, MN 55454-1450 Ph: (952) 892-9536 |
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