| Healer Within Psychotherapy Pllc | |
|
690 Cleveland Ave S Ste 5 Saint Paul MN 55116-1319 | |
| (651) 382-1652 | |
| (507) 242-9887 |
| Full Name | Healer Within Psychotherapy Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 690 Cleveland Ave S Ste 5, Saint Paul, Minnesota |
| Authorized Official Name and Position | Diane Rubright (OWNER/PROVIDER) |
| Authorized Official Contact | 6513821652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healer Within Psychotherapy Pllc 690 Cleveland Ave S Ste 5 Saint Paul MN 55116-1319 Ph: (651) 382-1652 | Healer Within Psychotherapy Pllc 690 Cleveland Ave S Ste 5 Saint Paul MN 55116-1319 Ph: (651) 382-1652 |
| NPI Number | 1811672744 |
|---|---|
| Provider Enumeration Date | 06/19/2023 |
| Last Update Date | 06/19/2023 |
| Certification Date | 06/19/2023 |
| Medicare PECOS PAC ID | 2769843994 |
|---|---|
| Medicare Enrollment ID | O20230803001759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811672744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Diane M Rubright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942518873 PECOS PAC ID: 5799973210 Enrollment ID: I20160519000892 |
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