Jessica Dresden Psyd Lp Llc | |
760 Stillwater Rd Ste 101 Mahtomedi MN 55115-2060 | |
(651) 800-1189 | |
Not Available |
Full Name | Jessica Dresden Psyd Lp Llc |
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Speciality | Clinic/Center |
Location | 760 Stillwater Rd Ste 101, Mahtomedi, Minnesota |
Authorized Official Name and Position | Jessica Dresden (OWNER) |
Authorized Official Contact | 6518001189 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jessica Dresden Psyd Lp Llc 760 Stillwater Rd Ste 101 Mahtomedi MN 55115-2060 Ph: (651) 800-1189 | Jessica Dresden Psyd Lp Llc 760 Stillwater Rd Ste 101 Mahtomedi MN 55115-2060 Ph: (651) 800-1189 |
NPI Number | 1609421510 |
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Provider Enumeration Date | 08/07/2019 |
Last Update Date | 08/07/2019 |
Medicare PECOS PAC ID | 0042642449 |
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Medicare Enrollment ID | O20191122000405 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609421510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Kathleen M Norkol |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518338524 PECOS PAC ID: 2860702834 Enrollment ID: I20151103000931 |
Provider Name | Jessica M Dresden |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1659623361 PECOS PAC ID: 6103109665 Enrollment ID: I20170207000970 |
Provider Name | Barbara Bindgen |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1285187757 PECOS PAC ID: 9739465832 Enrollment ID: I20170404000030 |
Provider Name | Carissa Brandt |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1174078455 PECOS PAC ID: 8224388483 Enrollment ID: I20180910000671 |
Provider Name | Jennifer L Wilson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1124684600 PECOS PAC ID: 5092048025 Enrollment ID: I20190606001956 |
Provider Name | Miranda Torgrimson |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1174170146 PECOS PAC ID: 2264763366 Enrollment ID: I20191003001446 |
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