Olas Psychology Pllc | |
1828 Jefferson St Ne Minneapolis MN 55418-4427 | |
(787) 381-1055 | |
Not Available |
Full Name | Olas Psychology Pllc |
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Speciality | Psychologist |
Location | 1828 Jefferson St Ne, Minneapolis, Minnesota |
Authorized Official Name and Position | Marie A Diaz (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 7873811055 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Olas Psychology Pllc 1828 Jefferson St Ne Minneapolis MN 55418-4427 Ph: (787) 381-1055 | Olas Psychology Pllc 1828 Jefferson St Ne Minneapolis MN 55418-4427 Ph: (787) 381-1055 |
NPI Number | 1346074465 |
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Provider Enumeration Date | 08/30/2024 |
Last Update Date | 08/30/2024 |
Certification Date | 08/29/2024 |
Medicare PECOS PAC ID | 6608309257 |
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Medicare Enrollment ID | O20241104003230 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346074465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Marie A Diaz Varona |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1720611148 PECOS PAC ID: 0244661122 Enrollment ID: I20200508001082 |
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