| Bethink | |
|
4280 Sergeant Rd Ste 225 Sioux City IA 51106-4634 | |
| (712) 202-2255 | |
| (712) 202-2989 |
| Full Name | Bethink |
|---|---|
| Speciality | Psychologist |
| Location | 4280 Sergeant Rd Ste 225, Sioux City, Iowa |
| Authorized Official Name and Position | Annie Stachowitz (MEMBER) |
| Authorized Official Contact | 7122022255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethink 4280 Sergeant Rd Ste 225 Sioux City IA 51106-4634 Ph: (712) 202-2255 | Bethink 4280 Sergeant Rd Ste 225 Sioux City IA 51106-4634 Ph: (712) 202-2255 |
| NPI Number | 1801400155 |
|---|---|
| Provider Enumeration Date | 09/03/2020 |
| Last Update Date | 10/03/2023 |
| Certification Date | 10/03/2023 |
| Medicare PECOS PAC ID | 2466813522 |
|---|---|
| Medicare Enrollment ID | O20230804002912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801400155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Stacey Norton-modrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780645275 PECOS PAC ID: 5991007536 Enrollment ID: I20160113001881 |
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