Judy D Siems, PHD LADC is a
Psychologist - Addiction (substance Use Disorder) based in Minnetonka, Minnesota. Judy D Siems is licensed to practice in * (Not Available) (license number ) and her current practice location is
1615 Archwood Rd, Minnetonka, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 998-6640.
NPI number for Judy D Siems is 1154603116 and her current mailing address is 1615 Archwood Rd, Minnetonka, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154603116.
Healthcare Provider's Profile
| Full Name | Judy D Siems |
|---|
| Gender | Female |
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| Speciality | Psychologist - Addiction (substance Use Disorder) |
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| Location | 1615 Archwood Rd, Minnetonka, 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: 1154603116
- Provider Enumeration Date: 09/15/2011
- Last Update Date: 09/15/2011
Medical Identifiers
Medical identifiers for Judy D Siems such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154603116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | 300804 (Minnesota) | Secondary |
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. Judy D Siems 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 |
|---|
Judy D Siems, PHD LADC
1615 Archwood Rd,
Minnetonka, MN 55305-2149
Ph: (612) 998-6640 | Judy D Siems, PHD LADC
1615 Archwood Rd,
Minnetonka, MN 55305
Ph: (612) 998-6640 |
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