| Alecia Viera | |
|
10505 Wayzata Blvd Ste 200 Minnetonka MN 55305 | |
| (952) 240-4959 | |
| (763) 546-5754 |
| Full Name | Alecia Viera |
|---|---|
| Speciality | Psychologist |
| Location | 10505 Wayzata Blvd Ste 200, Minnetonka, Minnesota |
| Authorized Official Name and Position | Alecia Viera (OWNER) |
| Authorized Official Contact | 9522404959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alecia Viera 10505 Wayzata Blvd Ste 200 Minnetonka MN 55305-1502 Ph: (952) 240-4959 | Alecia Viera 10505 Wayzata Blvd Ste 200 Minnetonka MN 55305 Ph: (952) 240-4959 |
| NPI Number | 1548767072 |
|---|---|
| Provider Enumeration Date | 04/11/2018 |
| Last Update Date | 05/25/2018 |
| Medicare PECOS PAC ID | 7416204565 |
|---|---|
| Medicare Enrollment ID | O20180719002470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548767072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP5612 (Minnesota) | Primary |
| Provider Name | Alecia A Viera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033267612 PECOS PAC ID: 2860634748 Enrollment ID: I20130805000826 |
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