| Lyn Shroyer, Inc | |
|
3710 S Kiwanis Ave Sioux Falls SD 57105-4232 | |
| (605) 373-9066 | |
| (605) 373-9145 |
| Full Name | Lyn Shroyer, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 3710 S Kiwanis Ave, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Lyn Marie Shroyer (PRESIDENT) |
| Authorized Official Contact | 6053739066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyn Shroyer, Inc 3710 S Kiwanis Ave Sioux Falls SD 57105-4232 Ph: (605) 373-9066 | Lyn Shroyer, Inc 3710 S Kiwanis Ave Sioux Falls SD 57105-4232 Ph: (605) 373-9066 |
| NPI Number | 1235325580 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 12/13/2007 |
| Medicare PECOS PAC ID | 4880676469 |
|---|---|
| Medicare Enrollment ID | O20040607000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235325580 | NPI | - | NPPES |
| 106124 | Other | SD | CHOICE PLUS |
| 2032 | Other | SD | AVERA HEALTH PLANS |
| 6551012 | Medicaid | SD | |
| 0040633 | Other | SD | BLUE CROSS BLUE SHIELD |
| 0201057 | Other | SD | UNITED HEALTH CARE |
| 7880 | Other | SD | MIDLANDS CHOICE |
| 22415 | Other | SD | SANFORD HEALTH PLANS |
| 86725 & HP29927 | Other | SD | HEALTH PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 341 (South Dakota) | Primary |
| Provider Name | Lyn M Shroyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992819122 PECOS PAC ID: 4688656275 Enrollment ID: I20120227000712 |
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