| Juihsien Kao, Phd, Lp Pllc | |
|
7362 University Ave Ne Ste 209 Fridley MN 55432-3151 | |
| (612) 400-7914 | |
| (612) 464-6595 |
| Full Name | Juihsien Kao, Phd, Lp Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 7362 University Ave Ne Ste 209, Fridley, Minnesota |
| Authorized Official Name and Position | Juihsien Hung Kao (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 6122054990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juihsien Kao, Phd, Lp Pllc 7362 University Ave Ne Ste 209 Fridley MN 55432-3151 Ph: (612) 400-7914 | Juihsien Kao, Phd, Lp Pllc 7362 University Ave Ne Ste 209 Fridley MN 55432-3151 Ph: (612) 400-7914 |
| NPI Number | 1457054686 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/22/2023 |
| Medicare PECOS PAC ID | 2163880196 |
|---|---|
| Medicare Enrollment ID | O20230622002122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457054686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Juihsien Kao |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013402429 PECOS PAC ID: 9830440015 Enrollment ID: I20180927000905 |
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