| Meridian Psychological Services, Inc | |
|
9400 Golden Valley Rd Golden Valley MN 55427-4318 | |
| (763) 450-5000 | |
| Not Available |
| Full Name | Meridian Psychological Services, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9400 Golden Valley Rd, Golden Valley, Minnesota |
| Authorized Official Name and Position | Rebecca Thomley (CEO) |
| Authorized Official Contact | 7634505045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Psychological Services, Inc 9400 Golden Valley Rd Golden Valley MN 55427-4318 Ph: (763) 450-5000 | Meridian Psychological Services, Inc 9400 Golden Valley Rd Golden Valley MN 55427-4318 Ph: (763) 450-5000 |
| NPI Number | 1386818979 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 04/28/2008 |
| Medicare PECOS PAC ID | 2567470933 |
|---|---|
| Medicare Enrollment ID | O20060327000356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386818979 | NPI | - | NPPES |
| 477848100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Rebecca S Hage Thomley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962626887 PECOS PAC ID: 9133137508 Enrollment ID: I20060327000325 |
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