| Advanced Psychological Services, Llc | |
|
304 Belle Ave Mankato MN 56001-5250 | |
| (877) 909-5511 | |
| (507) 888-0001 |
| Full Name | Advanced Psychological Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 304 Belle Ave, Mankato, Minnesota |
| Authorized Official Name and Position | Kesha Fettig (CLINIC COORDINATOR) |
| Authorized Official Contact | 5077356449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Psychological Services, Llc 304 Belle Ave Mankato MN 56001-5250 Ph: (877) 909-5511 | Advanced Psychological Services, Llc 304 Belle Ave Mankato MN 56001-5250 Ph: (877) 909-5511 |
| NPI Number | 1053066902 |
|---|---|
| Provider Enumeration Date | 02/18/2022 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Medicare PECOS PAC ID | 8729425087 |
|---|---|
| Medicare Enrollment ID | O20240321002684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053066902 | NPI | - | NPPES |
| Provider Name | Stephanie Sanetel-siatsis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003697871 PECOS PAC ID: 9638516990 Enrollment ID: I20240321002781 |
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