| Alyssa Weber, Psyd, Pllc | |
|
315 Main St S Ste 311 Minot ND 58701-3956 | |
| (701) 297-2877 | |
| Not Available |
| Full Name | Alyssa Weber, Psyd, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 315 Main St S Ste 311, Minot, North Dakota |
| Authorized Official Name and Position | Alyssa Weber (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7012972877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Weber, Psyd, Pllc 440 17th St Nw Minot ND 58703-1948 Ph: (701) 297-2877 | Alyssa Weber, Psyd, Pllc 315 Main St S Ste 311 Minot ND 58701-3956 Ph: (701) 297-2877 |
| NPI Number | 1508502857 |
|---|---|
| Provider Enumeration Date | 05/10/2022 |
| Last Update Date | 05/10/2022 |
| Certification Date | 04/25/2022 |
| Medicare PECOS PAC ID | 0143609628 |
|---|---|
| Medicare Enrollment ID | O20230718000730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508502857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Alyssa Weber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982035838 PECOS PAC ID: 8325470990 Enrollment ID: I20191120000953 |
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