| Octave Behavioral Michigan Pc | |
|
2345 Rice St Ste 230 Roseville MN 55113-3769 | |
| (415) 360-3833 | |
| (628) 234-3048 |
| Full Name | Octave Behavioral Michigan Pc |
|---|---|
| Speciality | Psychologist |
| Location | 2345 Rice St Ste 230, Roseville, Minnesota |
| Authorized Official Name and Position | Kym Everett (VP REVENUE OPERATIONS) |
| Authorized Official Contact | 6505042289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Octave Behavioral Michigan Pc Po Box 18481 Palatine IL 60055-8481 Ph: (415) 360-3833 | Octave Behavioral Michigan Pc 2345 Rice St Ste 230 Roseville MN 55113-3769 Ph: (415) 360-3833 |
| NPI Number | 1891504973 |
|---|---|
| Provider Enumeration Date | 01/03/2025 |
| Last Update Date | 01/03/2025 |
| Certification Date | 01/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891504973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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