| Daniel Dimick, Ma, Lp, Lmft, Inc. | |
|
105 4th St E Ste 304 Northfield MN 55057-2047 | |
| (507) 645-6575 | |
| (507) 645-7822 |
| Full Name | Daniel Dimick, Ma, Lp, Lmft, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 105 4th St E Ste 304, Northfield, Minnesota |
| Authorized Official Name and Position | Daniel John Dimick (PSYCHOLOGIST) |
| Authorized Official Contact | 5076456575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Dimick, Ma, Lp, Lmft, Inc. 105 4th St E Ste 304 Northfield MN 55057-2047 Ph: (507) 645-6575 | Daniel Dimick, Ma, Lp, Lmft, Inc. 105 4th St E Ste 304 Northfield MN 55057-2047 Ph: (507) 645-6575 |
| NPI Number | 1013566181 |
|---|---|
| Provider Enumeration Date | 09/10/2019 |
| Last Update Date | 09/10/2019 |
| Medicare PECOS PAC ID | 5193164515 |
|---|---|
| Medicare Enrollment ID | O20240418002019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013566181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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