| Hachiya Psychological Services | |
|
3414 W 47th St Minneapolis MN 55410-1721 | |
| (612) 226-3915 | |
| Not Available |
| Full Name | Hachiya Psychological Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 3414 W 47th St, Minneapolis, Minnesota |
| Authorized Official Name and Position | Andrew John Hachiya (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6122263915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hachiya Psychological Services 2318 Linner Rd Wayzata MN 55391-2225 Ph: (612) 226-3915 | Hachiya Psychological Services 3414 W 47th St Minneapolis MN 55410-1721 Ph: (612) 226-3915 |
| NPI Number | 1477962488 |
|---|---|
| Provider Enumeration Date | 08/05/2014 |
| Last Update Date | 08/05/2014 |
| Medicare PECOS PAC ID | 8527377357 |
|---|---|
| Medicare Enrollment ID | O20151019001538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477962488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | LP5674 (Minnesota) | Primary |
| Provider Name | Andrew Hachiya |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366770653 PECOS PAC ID: 5496986713 Enrollment ID: I20140328001475 |
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