| Carlyn Becker Therapy Services | |
|
25210 Hazelwood Dr Nisswa MN 56468-2797 | |
| (218) 821-1208 | |
| Not Available |
| Full Name | Carlyn Becker Therapy Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 25210 Hazelwood Dr, Nisswa, Minnesota |
| Authorized Official Name and Position | Carlyn Becker (OWNER) |
| Authorized Official Contact | 7634384619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlyn Becker Therapy Services 25210 Hazelwood Dr Nisswa MN 56468-2797 Ph: (763) 438-4619 | Carlyn Becker Therapy Services 25210 Hazelwood Dr Nisswa MN 56468-2797 Ph: (218) 821-1208 |
| NPI Number | 1922584879 |
|---|---|
| Provider Enumeration Date | 07/13/2018 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922584879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 303742 (Minnesota) | Secondary |
| 251S00000X | Community/behavioral Health | CC01826 (Minnesota) | Primary |
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