Modern Mind Wellness | |
25691 S. Fairburn Rd Fairburn SD 57738 | |
(507) 218-8394 | |
Not Available |
Full Name | Modern Mind Wellness |
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Speciality | Psychologist |
Location | 25691 S. Fairburn Rd, Fairburn, South Dakota |
Authorized Official Name and Position | Trevor D Frybarger (MANAGER/LICENSED THERAPIST) |
Authorized Official Contact | 5072188394 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Modern Mind Wellness Po Box 94 Fairburn SD 57738-0094 Ph: () - | Modern Mind Wellness 25691 S. Fairburn Rd Fairburn SD 57738 Ph: (507) 218-8394 |
NPI Number | 1972372746 |
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Provider Enumeration Date | 12/21/2023 |
Last Update Date | 01/22/2024 |
Certification Date | 01/22/2024 |
Identifier | Type | State | Issuer |
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1972372746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |