Mr Jay Scott Sidor, LMFT | |
2475 15th St Nw Ste D, New Brighton, MN 55112-5606 | |
(651) 529-1541 | |
(651) 529-1542 |
Full Name | Mr Jay Scott Sidor |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 2475 15th St Nw Ste D, New Brighton, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194235663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 3519 (Minnesota) | Primary |
Entity Name | Lorenz Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982900510 PECOS PAC ID: 7810282845 Enrollment ID: O20160830000081 |
Mailing Address | Practice Location Address |
---|---|
Mr Jay Scott Sidor, LMFT 268 Saratoga St S, Saint Paul, MN 55105-2436 Ph: (651) 307-1725 | Mr Jay Scott Sidor, LMFT 2475 15th St Nw Ste D, New Brighton, MN 55112-5606 Ph: (651) 529-1541 |
Kristin Dieruf, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112 Phone: 651-628-9566 | |
Jennifer Perri, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112 Phone: 651-628-9566 | |
Jack Leslie Hinrichs, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1900 Silver Lake Rd Nw, Suite110, New Brighton, MN 55112 Phone: 651-628-9566 Fax: 651-628-0411 | |
Charles Richmond, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 900 Long Lake Rd, Suite 320 Arden Woods Psychological Services, New Brighton, MN 55112 Phone: 651-482-9361 Fax: 651-482-9888 | |
Kalene Haugen, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112 Phone: 651-628-9566 | |
Mr. Robert Wayne Eddy, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112 Phone: 651-628-9566 | |
Cassandra Lee Turner, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 900 Long Lake Rd # 215, New Brighton, MN 55112 Phone: 612-458-5667 |