| Oliver Ross Psychology And Consulting Llc | |
|
771 Raymond Ave Saint Paul MN 55114-1522 | |
| (651) 243-2292 | |
| Not Available |
| Full Name | Oliver Ross Psychology And Consulting Llc |
|---|---|
| Speciality | Psychologist |
| Location | 771 Raymond Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Oliver Ross (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6122754193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oliver Ross Psychology And Consulting Llc 771 Raymond Ave Saint Paul MN 55114-1522 Ph: (651) 243-2292 | Oliver Ross Psychology And Consulting Llc 771 Raymond Ave Saint Paul MN 55114-1522 Ph: (651) 243-2292 |
| NPI Number | 1689030231 |
|---|---|
| Provider Enumeration Date | 01/13/2016 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Medicare PECOS PAC ID | 0244538064 |
|---|---|
| Medicare Enrollment ID | O20160412001527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689030231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
| Provider Name | Oliver Ross |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295100881 PECOS PAC ID: 4688972417 Enrollment ID: I20160412001735 |
| Provider Name | Maura C Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528682374 PECOS PAC ID: 0345650511 Enrollment ID: I20201029002743 |
| Provider Name | Clifford James Buhl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902305444 PECOS PAC ID: 9830501451 Enrollment ID: I20201223001094 |
| Provider Name | Irene M Ottoson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619568912 PECOS PAC ID: 0749694529 Enrollment ID: I20210208001110 |
| Provider Name | Tobin Shelton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962898981 PECOS PAC ID: 4486931805 Enrollment ID: I20211111002209 |
| Provider Name | Sean David Mcewen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437586492 PECOS PAC ID: 0840666293 Enrollment ID: I20221026001556 |
| Provider Name | Ryan Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124650395 PECOS PAC ID: 7113365446 Enrollment ID: I20240405002078 |
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