| Avera Medical Group Behavioral Health Yankton | |
|
409 Summit St Ste 3300 Yankton SD 57078-3735 | |
| (605) 655-1220 | |
| (605) 655-1245 |
| Full Name | Avera Medical Group Behavioral Health Yankton |
|---|---|
| Speciality | Psychologist |
| Location | 409 Summit St Ste 3300, Yankton, South Dakota |
| Authorized Official Name and Position | Douglas Ekeren (PRESIDENT/CEO) |
| Authorized Official Contact | 6056688321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Medical Group Behavioral Health Yankton Po Box 86370 Sioux Falls SD 57118-6370 Ph: (605) 322-4933 | Avera Medical Group Behavioral Health Yankton 409 Summit St Ste 3300 Yankton SD 57078-3735 Ph: (605) 655-1220 |
| NPI Number | 1275872707 |
|---|---|
| Provider Enumeration Date | 02/04/2013 |
| Last Update Date | 04/24/2023 |
| Certification Date | 04/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275872707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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