| Asc Psychological Services | |
|
12 Civic Center Plz Suite 2090 Mankato MN 56001-7781 | |
| (507) 345-4679 | |
| (507) 345-8685 |
| Full Name | Asc Psychological Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12 Civic Center Plz, Mankato, Minnesota |
| Authorized Official Name and Position | George V Komaridis (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5073454679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Asc Psychological Services 12 Civic Center Plz Suite 2090 Mankato MN 56001-7781 Ph: (507) 345-4679 | Asc Psychological Services 12 Civic Center Plz Suite 2090 Mankato MN 56001-7781 Ph: (507) 345-4679 |
| NPI Number | 1992085674 |
|---|---|
| Provider Enumeration Date | 08/25/2011 |
| Last Update Date | 08/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992085674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LP1673 (Minnesota) | Primary |
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