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120 3rd Ave Nw Watertown SD 57201-2311 | |
| (605) 886-5262 | |
| (605) 886-5228 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 120 3rd Ave Nw, Watertown, South Dakota |
| Authorized Official Name and Position | Sara Elizabeth Erickson (OWNER) |
| Authorized Official Contact | 6058865262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
600 4th St Ne Ste 203 Watertown SD 57201-1898 Ph: (605) 886-5262 | 120 3rd Ave Nw Watertown SD 57201-2311 Ph: (605) 886-5262 |
| NPI Number | 1326277625 |
|---|---|
| Provider Enumeration Date | 07/08/2009 |
| Last Update Date | 01/08/2025 |
| Certification Date | 01/08/2025 |
| Medicare PECOS PAC ID | 8123164019 |
|---|---|
| Medicare Enrollment ID | O20091007000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326277625 | NPI | - | NPPES |
| 6551302 | Medicaid | SD | |
| 1003928 | Medicaid | SD |
| Provider Name | Rachael Renee Stangeland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386040020 PECOS PAC ID: 7315376159 Enrollment ID: I20200331000591 |
| Provider Name | Sara Elizabeth Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316525371 PECOS PAC ID: 8628487543 Enrollment ID: I20210505003025 |
| Provider Name | Sara Lynn Struckman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417535394 PECOS PAC ID: 9234572926 Enrollment ID: I20240827002221 |
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