Sara Valentino | |
970 Raymond Ave Ste 105 Saint Paul MN 55114-1701 | |
(612) 440-1824 | |
Not Available |
Full Name | Sara Valentino |
---|---|
Speciality | Psychologist |
Location | 970 Raymond Ave Ste 105, Saint Paul, Minnesota |
Authorized Official Name and Position | Sara Valentino (OWNER/MEMBER) |
Authorized Official Contact | 5405535574 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sara Valentino 500 W Franklin Ave Apt 105 Minneapolis MN 55405-3654 Ph: (540) 553-5574 | Sara Valentino 970 Raymond Ave Ste 105 Saint Paul MN 55114-1701 Ph: (612) 440-1824 |
NPI Number | 1114561412 |
---|---|
Provider Enumeration Date | 10/30/2019 |
Last Update Date | 02/16/2024 |
Certification Date | 02/16/2024 |
Medicare PECOS PAC ID | 6901217165 |
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Medicare Enrollment ID | O20201120000037 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114561412 | NPI | - | NPPES |
1114561412 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Sara Elizabeth Valentino |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1558818831 PECOS PAC ID: 9234480518 Enrollment ID: I20180926000422 |
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