| Northtown Psychology Associates | |
|
199 Coon Rapids Blvd Nw Ste 113 Coon Rapids MN 55433-5859 | |
| (763) 785-8111 | |
| (763) 785-6946 |
| Full Name | Northtown Psychology Associates |
|---|---|
| Speciality | Psychologist |
| Location | 199 Coon Rapids Blvd Nw Ste 113, Coon Rapids, Minnesota |
| Authorized Official Name and Position | Gail A Noller (PSYCHOLOGIST/CO-OWNER) |
| Authorized Official Contact | 7637858111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northtown Psychology Associates 199 Coon Rapids Blvd Nw Ste 113 Coon Rapids MN 55433-5859 Ph: (763) 785-8111 | Northtown Psychology Associates 199 Coon Rapids Blvd Nw Ste 113 Coon Rapids MN 55433-5859 Ph: (763) 785-8111 |
| NPI Number | 1174573067 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 02/02/2021 |
| Certification Date | 02/02/2021 |
| Medicare PECOS PAC ID | 2961435250 |
|---|---|
| Medicare Enrollment ID | O20050916000385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174573067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Deborah C Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417909177 PECOS PAC ID: 7315970605 Enrollment ID: I20050916000468 |
| Provider Name | Gail A Noller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730130758 PECOS PAC ID: 3678506961 Enrollment ID: I20050916000482 |
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