| Dickinson Family Counseling Center | |
|
11 2nd Ave E Suite B Dickinson ND 58601-5218 | |
| (701) 483-9720 | |
| (701) 483-9721 |
| Full Name | Dickinson Family Counseling Center |
|---|---|
| Speciality | Psychologist |
| Location | 11 2nd Ave E, Dickinson, North Dakota |
| Authorized Official Name and Position | Susan M Baer (BUSINESS MANAGER) |
| Authorized Official Contact | 7014839720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dickinson Family Counseling Center 11 2nd Ave E Suite B Dickinson ND 58601-5218 Ph: (701) 483-9720 | Dickinson Family Counseling Center 11 2nd Ave E Suite B Dickinson ND 58601-5218 Ph: (701) 483-9720 |
| NPI Number | 1720054810 |
|---|---|
| Provider Enumeration Date | 02/27/2006 |
| Last Update Date | 12/16/2014 |
| Medicare PECOS PAC ID | 8729081849 |
|---|---|
| Medicare Enrollment ID | O20060810000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720054810 | NPI | - | NPPES |
| 013945 | Medicaid | ND | |
| 6783-001 | Other | ND | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Robert W Baer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801862990 PECOS PAC ID: 4587667639 Enrollment ID: I20060810000482 |
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