| Bette Magyar Johnson Consulting, Inc. | |
|
430 Oak Street Suite 403 Minneapolis MN 55403 | |
| (612) 871-8684 | |
| (612) 871-2374 |
| Full Name | Bette Magyar Johnson Consulting, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 430 Oak Street, Minneapolis, Minnesota |
| Authorized Official Name and Position | Bette Magyar Johnson (PRESIDENT) |
| Authorized Official Contact | 9524042610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bette Magyar Johnson Consulting, Inc. 205 Barry Ave S #321 Wayzata MN 55391-1655 Ph: (952) 404-2610 | Bette Magyar Johnson Consulting, Inc. 430 Oak Street Suite 403 Minneapolis MN 55403 Ph: (612) 871-8684 |
| NPI Number | 1417188376 |
|---|---|
| Provider Enumeration Date | 07/27/2009 |
| Last Update Date | 07/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417188376 | NPI | - | NPPES |
| 525850200 | Other | MN | MEDICAL ASSISTANCE |
| 62093JO | Other | MN | BCBS |
| 113885 | Other | MN | UCARE |
| 6145828 | Other | MN | MEDICA-UBH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP2862 (Minnesota) | Primary |
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