| Metro Psychology Support Services, Inc. | |
|
2550 University Ave W Suite 163s Saint Paul MN 55114-1052 | |
| (651) 645-7971 | |
| Not Available |
| Full Name | Metro Psychology Support Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2550 University Ave W, Saint Paul, Minnesota |
| Authorized Official Name and Position | Dona L Mathews (OWNER) |
| Authorized Official Contact | 6516457971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Psychology Support Services, Inc. 2550 University Ave W Suite 163s Saint Paul MN 55114-1052 Ph: (651) 645-7971 | Metro Psychology Support Services, Inc. 2550 University Ave W Suite 163s Saint Paul MN 55114-1052 Ph: (651) 645-7971 |
| NPI Number | 1194749226 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6002813235 |
|---|---|
| Medicare Enrollment ID | O20061101000485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194749226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Dona L Mathews |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699795542 PECOS PAC ID: 0042241820 Enrollment ID: I20050823000043 |
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