Amy Wold Ma, Lp, Pa | |
101 Lexington Ave S New Prague MN 56071-2423 | |
(952) 758-2999 | |
(952) 758-2999 |
Full Name | Amy Wold Ma, Lp, Pa |
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Speciality | Psychologist |
Location | 101 Lexington Ave S, New Prague, Minnesota |
Authorized Official Name and Position | Amy Wold (OWNER, SELF) |
Authorized Official Contact | 9527582999 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Amy Wold Ma, Lp, Pa 101 Lexington Ave S New Prague MN 56071-2423 Ph: (952) 758-2999 | Amy Wold Ma, Lp, Pa 101 Lexington Ave S New Prague MN 56071-2423 Ph: (952) 758-2999 |
NPI Number | 1295935849 |
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Provider Enumeration Date | 07/23/2007 |
Last Update Date | 07/23/2007 |
Identifier | Type | State | Issuer |
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1295935849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 3821 (Minnesota) | Primary |
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