Mrs Stephanie Marie Tyree-dahlberg, LMFT | |
2345 Ariel Street North, Mail Stop 13601a, Maplewood, MN 55109-2248 | |
(651) 254-4793 | |
(651) 254-0877 |
Full Name | Mrs Stephanie Marie Tyree-dahlberg |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 2345 Ariel Street North, Maplewood, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366837437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 2638 (Minnesota) | Primary |
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
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Mrs Stephanie Marie Tyree-dahlberg, LMFT Po Box 1309 - 8170 33rd Ave S, Mail Stop 21110q, Minneapolis, MN 55425-4516 Ph: (651) 254-4793 | Mrs Stephanie Marie Tyree-dahlberg, LMFT 2345 Ariel Street North, Mail Stop 13601a, Maplewood, MN 55109-2248 Ph: (651) 254-4793 |
Jennifer L Tichenor, MA LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2103 County Road D E, Suite A, Maplewood, MN 55109 Phone: 651-338-9816 Fax: 651-305-0277 | |
Ms. Mary K. Zwack, M.S., LADC, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2480 White Bear Ave N Ste 101, Maplewood, MN 55109 Phone: 651-770-1311 Fax: 651-770-1879 | |
Lindsay Jordan, M.A. LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3100 Kennard St Ste 250, Maplewood, MN 55109 Phone: 651-313-8080 | |
Mr. Bryan Jarred Cole, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 2001 Beam Ave, Maplewood, MN 55109 Phone: 952-737-4520 | |
David Glenn Runion, L.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2115 County Road D E, Suite B, Maplewood, MN 55109 Phone: 651-748-5019 Fax: 651-773-7591 | |
Mrs. Erica Jw Kanewischer, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2115 County Road D E # B, Maplewood, MN 55109 Phone: 651-748-5019 Fax: 651-773-7591 | |
William Shaw, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2115 County Road D E, Suite B, Maplewood, MN 55109 Phone: 651-748-5019 Fax: 651-773-7591 |