Anchor Psychology Llc | |
2740 Lauren Road Duluth MN 55804 | |
(218) 282-7481 | |
Not Available |
Full Name | Anchor Psychology Llc |
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Speciality | Clinic/Center |
Location | 2740 Lauren Road, Duluth, Minnesota |
Authorized Official Name and Position | Kelsey Berg (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 2183491938 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Anchor Psychology Llc 1346 W Arrowhead Rd Ste 196 Duluth MN 55811-2218 Ph: () - | Anchor Psychology Llc 2740 Lauren Road Duluth MN 55804 Ph: (218) 282-7481 |
NPI Number | 1114697034 |
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Provider Enumeration Date | 09/14/2021 |
Last Update Date | 09/14/2021 |
Certification Date | 08/24/2021 |
Medicare PECOS PAC ID | 2567843014 |
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Medicare Enrollment ID | O20220715000657 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114697034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Kelsey A Berg |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1881945988 PECOS PAC ID: 7214173590 Enrollment ID: I20130410000443 |
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