Mrs Gwen Katrina Pedersen, MS | |
600 25th Ave S Ste 109, Saint Cloud, MN 56301-4820 | |
(320) 255-0343 | |
(320) 654-0318 |
Full Name | Mrs Gwen Katrina Pedersen |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 600 25th Ave S Ste 109, Saint Cloud, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902905516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 1156 (Minnesota) | Primary |
Entity Name | Gwen Pedersen, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750090858 PECOS PAC ID: 2062858301 Enrollment ID: O20240308003692 |
Mailing Address | Practice Location Address |
---|---|
Mrs Gwen Katrina Pedersen, MS 2025 Stearns Way Ste 111, Saint Cloud, MN 56303-1275 Ph: () - | Mrs Gwen Katrina Pedersen, MS 600 25th Ave S Ste 109, Saint Cloud, MN 56301-4820 Ph: (320) 255-0343 |
Troy Robert Weber, MS, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1900 Centracare Cir Ste 2375, Saint Cloud, MN 56303 Phone: 320-654-3633 Fax: 320-229-5177 | |
Hannah Rogak, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 720 8th Ave N, Saint Cloud, MN 56303 Phone: 320-333-9228 Fax: 320-251-0217 | |
Clint Sauer, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3701 12th St N, Suite 203, Saint Cloud, MN 56303 Phone: 320-253-3512 | |
Denise J Oehrlein, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3333 W Division St Ste 119, Saint Cloud, MN 56301 Phone: 320-774-1621 Fax: 320-774-1624 | |
Kayla Corrigan, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 110 6th Ave S, Saint Cloud, MN 56301 Phone: 320-253-5930 Fax: 651-925-0057 | |
Alex Gregory, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 110 6th Ave S, Saint Cloud, MN 56301 Phone: 320-253-5930 Fax: 651-925-0057 | |
Kari Ann Waldorf, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2700 1st St N Ste 300, Saint Cloud, MN 56303 Phone: 320-493-4365 |