| Optum Behavioral Care Of New Jersey P C | |
|
150 S 5th St Ste 825 Minneapolis MN 55402-4200 | |
| (877) 441-0121 | |
| (877) 441-4413 |
| Full Name | Optum Behavioral Care Of New Jersey P C |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 150 S 5th St Ste 825, Minneapolis, Minnesota |
| Authorized Official Name and Position | Amanda Stacey Bronson (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9782223121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Behavioral Care Of New Jersey P C 150 S 5th St Ste 825 Minneapolis MN 55402-4200 Ph: (877) 441-0121 | Optum Behavioral Care Of New Jersey P C 150 S 5th St Ste 825 Minneapolis MN 55402-4200 Ph: (877) 441-0121 |
| NPI Number | 1366061723 |
|---|---|
| Provider Enumeration Date | 04/15/2020 |
| Last Update Date | 08/07/2024 |
| Certification Date | 08/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366061723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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