Mr Robert Wayne Eddy, MA, LMFT | |
1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | |
(651) 628-9566 | |
Not Available |
Full Name | Mr Robert Wayne Eddy |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 1900 Silver Lake Rd Nw Ste 110, 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 |
---|---|---|---|
1063146538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 4243 (Minnesota) | Primary |
Entity Name | Family Support Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467549220 PECOS PAC ID: 0244297448 Enrollment ID: O20041220000008 |
Mailing Address | Practice Location Address |
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Mr Robert Wayne Eddy, MA, LMFT 10310 41st Ave N, Plymouth, MN 55441-1536 Ph: (763) 312-3660 | Mr Robert Wayne Eddy, MA, LMFT 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: (651) 628-9566 |
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 | |
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 |