| Ricardo Ascano, Ltd | |
|
614 Nebraska Ave Breckenridge MN 56520-1545 | |
| (218) 643-3867 | |
| (218) 643-1630 |
| Full Name | Ricardo Ascano, Ltd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 614 Nebraska Ave, Breckenridge, Minnesota |
| Authorized Official Name and Position | Ricardo P Ascano (PSYCHOLOGIST) |
| Authorized Official Contact | 2186433867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo Ascano, Ltd Po Box 325 Breckenridge MN 56520 Ph: (218) 643-3867 | Ricardo Ascano, Ltd 614 Nebraska Ave Breckenridge MN 56520-1545 Ph: (218) 643-3867 |
| NPI Number | 1497751465 |
|---|---|
| Provider Enumeration Date | 06/24/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497751465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP1190 (Minnesota) | Primary |
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