| Catherine L. Cronemeyer, Psy.d., L.p., L.l.c. | |
|
5101 Olson Memorial Hwy Suite 4006 Golden Valley MN 55422-5149 | |
| (763) 595-7294 | |
| (763) 595-7293 |
| Full Name | Catherine L. Cronemeyer, Psy.d., L.p., L.l.c. |
|---|---|
| Speciality | Psychologist |
| Location | 5101 Olson Memorial Hwy, Golden Valley, Minnesota |
| Authorized Official Name and Position | Catherine L Cronemeyer (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7635957294 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine L. Cronemeyer, Psy.d., L.p., L.l.c. 5101 Olson Memorial Hwy Suite 4006 Golden Valley MN 55422-5149 Ph: (763) 595-7294 | Catherine L. Cronemeyer, Psy.d., L.p., L.l.c. 5101 Olson Memorial Hwy Suite 4006 Golden Valley MN 55422-5149 Ph: (763) 595-7294 |
| NPI Number | 1942695309 |
|---|---|
| Provider Enumeration Date | 04/02/2015 |
| Last Update Date | 04/02/2015 |
| Medicare PECOS PAC ID | 8921327669 |
|---|---|
| Medicare Enrollment ID | O20160510002550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942695309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | LP5570 (Minnesota) | Primary |
| Provider Name | Catherine L Cronemeyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386877298 PECOS PAC ID: 6103063631 Enrollment ID: I20130430000617 |
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