| Daniel Legerski, Psy.d., Lp, Llc | |
|
5200 Willson Rd Suite 205 Edina MN 55424-1332 | |
| (952) 200-9804 | |
| (952) 920-2461 |
| Full Name | Daniel Legerski, Psy.d., Lp, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5200 Willson Rd, Edina, Minnesota |
| Authorized Official Name and Position | Daniel Louis Legerski (OWNER) |
| Authorized Official Contact | 9522009804 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Legerski, Psy.d., Lp, Llc 5200 Willson Rd Suite 205 Edina MN 55424-1332 Ph: (952) 200-9804 | Daniel Legerski, Psy.d., Lp, Llc 5200 Willson Rd Suite 205 Edina MN 55424-1332 Ph: (952) 200-9804 |
| NPI Number | 1730451923 |
|---|---|
| Provider Enumeration Date | 02/02/2012 |
| Last Update Date | 02/02/2012 |
| Medicare PECOS PAC ID | 7214187095 |
|---|---|
| Medicare Enrollment ID | O20121101000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730451923 | NPI | - | NPPES |
| 156798500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP4384 (Minnesota) | Primary |
| Provider Name | Daniel L Legerski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083796916 PECOS PAC ID: 3375543994 Enrollment ID: I20070105000084 |
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