| Psychopharmacology Consultant Llc | |
|
1082 Highway 3 S Northfield MN 55057-3088 | |
| (507) 316-1209 | |
| Not Available |
| Full Name | Psychopharmacology Consultant Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1082 Highway 3 S, Northfield, Minnesota |
| Authorized Official Name and Position | Richard O. Walker (OWNER) |
| Authorized Official Contact | 5078241257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychopharmacology Consultant Llc 42340 County 50 Blvd Wanamingo MN 55983-6006 Ph: (507) 824-1257 | Psychopharmacology Consultant Llc 1082 Highway 3 S Northfield MN 55057-3088 Ph: (507) 316-1209 |
| NPI Number | 1821637869 |
|---|---|
| Provider Enumeration Date | 12/21/2019 |
| Last Update Date | 12/21/2019 |
| Certification Date | 12/21/2019 |
| Medicare PECOS PAC ID | 9335574177 |
|---|---|
| Medicare Enrollment ID | O20200124000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821637869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Richard O Walker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508283219 PECOS PAC ID: 0941241293 Enrollment ID: I20050517000391 |
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