Linda K Gordon | |
4651 Nicols Rd Suite 102a Eagan MN 55122-3336 | |
(651) 688-3168 | |
(651) 688-3583 |
Full Name | Linda K Gordon |
---|---|
Speciality | Psychologist - Counseling |
Location | 4651 Nicols Rd, Eagan, Minnesota |
Authorized Official Name and Position | Linda K Gordon (OWNER PRESIDENT SOLE EMPLOYEE) |
Authorized Official Contact | 6516883168 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Linda K Gordon 4651 Nicols Rd Suite 102a Eagan MN 55122-3336 Ph: (651) 688-3168 | Linda K Gordon 4651 Nicols Rd Suite 102a Eagan MN 55122-3336 Ph: (651) 688-3168 |
NPI Number | 1629159678 |
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Provider Enumeration Date | 10/18/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629159678 | NPI | - | NPPES |
499R3QO | Other | MN | BLUE CROSS BLUE SHIELD |
6254046 | Other | MN | UNITED BEHAVIORAL HEALTH |
7496066 | Other | MN | AETNA |
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