Rooted Psychology | |
306 W Superior St Ste 405 Duluth MN 55802-5017 | |
(218) 203-9553 | |
Not Available |
Full Name | Rooted Psychology |
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Speciality | Clinic/Center |
Location | 306 W Superior St Ste 405, Duluth, Minnesota |
Authorized Official Name and Position | Cortney Del Duffy (PSYCHOLOGIST; OWNER) |
Authorized Official Contact | 2182039335 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rooted Psychology 306 W Superior St Ste 405 Duluth MN 55802-5017 Ph: (218) 203-9553 | Rooted Psychology 306 W Superior St Ste 405 Duluth MN 55802-5017 Ph: (218) 203-9553 |
NPI Number | 1386408193 |
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Provider Enumeration Date | 02/12/2024 |
Last Update Date | 02/12/2024 |
Certification Date | 02/12/2024 |
Medicare PECOS PAC ID | 1658713961 |
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Medicare Enrollment ID | O20240531000636 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386408193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Cortney Del Duffy |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1740763085 PECOS PAC ID: 3577817857 Enrollment ID: I20181127000549 |
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