| Diane Strike, Llc | |
|
3820 Cleveland Ave N Suite 400 Arden Hills MN 55112-3285 | |
| (651) 785-4514 | |
| Not Available |
| Full Name | Diane Strike, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3820 Cleveland Ave N, Arden Hills, Minnesota |
| Authorized Official Name and Position | Diane Strike (PRESIDENT) |
| Authorized Official Contact | 6517854514 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Strike, Llc 3820 Cleveland Ave N Suite 400 Arden Hills MN 55112-3285 Ph: (651) 785-4514 | Diane Strike, Llc 3820 Cleveland Ave N Suite 400 Arden Hills MN 55112-3285 Ph: (651) 785-4514 |
| NPI Number | 1770720542 |
|---|---|
| Provider Enumeration Date | 01/15/2009 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Medicare PECOS PAC ID | 3577609858 |
|---|---|
| Medicare Enrollment ID | O20090930000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770720542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | LP 4887 (Minnesota) | Primary |
| Provider Name | Diane L Strike |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639395874 PECOS PAC ID: 1951447234 Enrollment ID: I20090930000637 |
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