| Prevail Psychiatric Services | |
|
1978 Adolphus St Maplewood MN 55117-1904 | |
| (651) 724-2905 | |
| Not Available |
| Full Name | Prevail Psychiatric Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1978 Adolphus St, Maplewood, Minnesota |
| Authorized Official Name and Position | Jessica Clark (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 6517242905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prevail Psychiatric Services 1978 Adolphus St Maplewood MN 55117-1904 Ph: () - | Prevail Psychiatric Services 1978 Adolphus St Maplewood MN 55117-1904 Ph: (651) 724-2905 |
| NPI Number | 1780394171 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 11/28/2022 |
| Certification Date | 11/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780394171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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