Vladimir Aleksandrovich Gordeyev, MS, LMFT | |
7401 Metro Blvd Ste 250, Edina, MN 55439-3062 | |
(612) 268-5858 | |
(612) 268-5868 |
Full Name | Vladimir Aleksandrovich Gordeyev |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 7401 Metro Blvd Ste 250, Edina, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609324128 | NPI | - | NPPES |
0469676 | Medicaid | IA | |
4425 | Other | MN | STATE LICENSE |
558566 | Other | MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 082182 (Iowa) | Secondary |
106H00000X | Marriage & Family Therapist | 4425 (Minnesota) | Primary |
Entity Name | Affinity Psychological Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245610856 PECOS PAC ID: 0749528552 Enrollment ID: O20190220001363 |
Mailing Address | Practice Location Address |
---|---|
Vladimir Aleksandrovich Gordeyev, MS, LMFT 600 42nd St, Des Moines, IA 50312-2701 Ph: (515) 255-8399 | Vladimir Aleksandrovich Gordeyev, MS, LMFT 7401 Metro Blvd Ste 250, Edina, MN 55439-3062 Ph: (612) 268-5858 |
Ms. Isabelle Anna Lankhorst, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6750 France Ave S Ste 200, Edina, MN 55435 Phone: 612-486-2058 | |
Sandra Kay Martin, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7400 Metro Blvd, Suite 412, Edina, MN 55439 Phone: 612-267-2885 Fax: 612-429-5721 | |
Lauryn Elizabeth Nelson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5275 Edina Industrial Blvd, Edina, MN 55439 Phone: 612-688-5968 | |
Ms. Leslie A Kreofsky, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7200 France Ave S, Suite 223, Edina, MN 55435 Phone: 952-452-4851 | |
Tiffany M. Anderson, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7505 Metro Blvd Ste 505, Edina, MN 55439 Phone: 612-505-3692 | |
Joseph E Noble, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 Phone: 612-202-0718 | |
Mr. Mark Omar Anderson, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7200 France Ave S, Suite 239, Edina, MN 55435 Phone: 952-345-1875 Fax: 952-345-1876 |