Life Strategies Psychological Health Services, Inc | |
1601 E 69th St Ste 305 Sioux Falls SD 57108 | |
(605) 368-4323 | |
Not Available |
Full Name | Life Strategies Psychological Health Services, Inc |
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Speciality | Psychologist |
Location | 1601 E 69th St Ste 305, Sioux Falls, South Dakota |
Authorized Official Name and Position | Ericka Kemper (PRESIDENT/CEO) |
Authorized Official Contact | 6053606264 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Life Strategies Psychological Health Services, Inc 1601 E 69th St Ste 305 Sioux Falls SD 57108-8322 Ph: (605) 368-4323 | Life Strategies Psychological Health Services, Inc 1601 E 69th St Ste 305 Sioux Falls SD 57108 Ph: (605) 368-4323 |
NPI Number | 1821026998 |
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Provider Enumeration Date | 06/29/2006 |
Last Update Date | 08/07/2018 |
Medicare PECOS PAC ID | 9133124696 |
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Medicare Enrollment ID | O20060916000014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821026998 | NPI | - | NPPES |
6552023 | Medicaid | SD | |
4993937 | Other | SD | BLUECROSS BLUESHIELD |
9237669 | Other | SD | DAKOTACARE |
33858 | Other | SD | SANFORD HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 444 (South Dakota) | Primary |
Provider Name | Ericka K Kemper |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1477588416 PECOS PAC ID: 8426003880 Enrollment ID: I20050317001089 |
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