Mrs Deborah C Haddock, LP, LPC is a
Psychologist - Counseling based in Edina, Minnesota. Mrs Deborah C Haddock is licensed to practice in Minnesota (license number LP3466) and her current practice location is
4005 W 65th St, Suite 214, Edina, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 940-0653.
NPI number for Mrs Deborah C Haddock is 1497824486 and her current mailing address is 4005 W 65th St, Suite 214, Edina, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497824486.
Healthcare Provider's Profile
| Full Name | Mrs Deborah C Haddock |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Counseling |
|---|
| Location | 4005 W 65th St, Edina, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1497824486
- Provider Enumeration Date: 11/06/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Deborah C Haddock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497824486 | NPI | - | NPPES |
| 84905701132 | Other | MN | PREFERRED ONE ID |
| 01H70HA | Other | MN | BCBS ID |
| 62-90979 | Other | MN | MEDICA ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | LPC00151 (Minnesota) | Primary |
| 103TC1900X | Psychologist - Counseling | LP3466 (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. Mrs Deborah C Haddock 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 |
|---|
Mrs Deborah C Haddock, LP, LPC
4005 W 65th St, Suite 214,
Edina, MN 55435-1720
Ph: (612) 940-0653 | Mrs Deborah C Haddock, LP, LPC
4005 W 65th St, Suite 214,
Edina, MN 55435-1720
Ph: (612) 940-0653 |
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