Autumn Olivia Dow, is a
Psychologist - Clinical based in New Brighton, Minnesota. Autumn Olivia Dow is licensed to practice in Minnesota (license number 1477199305) and her current practice location is
1900 Silver Lake Rd Nw Ste 110, New Brighton, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 628-9566.
NPI number for Autumn Olivia Dow is 1477199305 and her current mailing address is 1900 Silver Lake Rd Nw Ste 210, New Brighton, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477199305.
Healthcare Provider's Profile
| Full Name | Autumn Olivia Dow |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 1900 Silver Lake Rd Nw Ste 110, New Brighton, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477199305
- Provider Enumeration Date: 11/26/2019
- Last Update Date: 07/09/2024
Medical Identifiers
Medical identifiers for Autumn Olivia Dow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477199305 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | RBT-19-89367 (Texas) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1477199305 (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. Autumn Olivia Dow 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 |
|---|
Autumn Olivia Dow,
1900 Silver Lake Rd Nw Ste 210,
New Brighton, MN 55112-1786
Ph: () - | Autumn Olivia Dow,
1900 Silver Lake Rd Nw Ste 110,
New Brighton, MN 55112-1789
Ph: (651) 628-9566 |
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