Essential Psychology Pllc | |
216 E Main St Ste 4 Albert Lea MN 56007-2982 | |
(507) 383-2560 | |
Not Available |
Full Name | Essential Psychology Pllc |
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Speciality | Psychologist |
Location | 216 E Main St Ste 4, Albert Lea, Minnesota |
Authorized Official Name and Position | Ella Mae Wiemerslage (CEO) |
Authorized Official Contact | 5073832560 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Essential Psychology Pllc 216 E Main St Ste 4 Albert Lea MN 56007-2982 Ph: (507) 383-2560 | Essential Psychology Pllc 216 E Main St Ste 4 Albert Lea MN 56007-2982 Ph: (507) 383-2560 |
NPI Number | 1568245454 |
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Provider Enumeration Date | 08/15/2023 |
Last Update Date | 01/05/2024 |
Certification Date | 01/05/2024 |
Medicare PECOS PAC ID | 2769833573 |
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Medicare Enrollment ID | O20240105002236 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568245454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Ella Mae Wiemerslage |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1538117494 PECOS PAC ID: 4981782760 Enrollment ID: I20240105002289 |
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