| Duluth Psychological Clinic Inc | |
|
205 W 2nd St Suite 437 Duluth Psychological Clinic Duluth MN 55802 | |
| (218) 722-2005 | |
| (218) 727-3000 |
| Full Name | Duluth Psychological Clinic Inc |
|---|---|
| Speciality | Psychologist |
| Location | 205 W 2nd St, Duluth, Minnesota |
| Authorized Official Name and Position | Douglas G Heck (LICENSED PSYCHOLOGIST LP1240) |
| Authorized Official Contact | 2187222005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Duluth Psychological Clinic Inc 205 W 2nd St Suite 437 Duluth Psychological Clinic Duluth MN 55802 Ph: (218) 722-2005 | Duluth Psychological Clinic Inc 205 W 2nd St Suite 437 Duluth Psychological Clinic Duluth MN 55802 Ph: (218) 722-2005 |
| NPI Number | 1730243809 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5395835243 |
|---|---|
| Medicare Enrollment ID | O20071217000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730243809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Douglas G Heck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053487157 PECOS PAC ID: 4284724139 Enrollment ID: I20101209001165 |
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