| Scott M Yarosh, Llc | |
|
1600 University Ave W Suite 205 Saint Paul MN 55104-3898 | |
| (651) 655-6255 | |
| Not Available |
| Full Name | Scott M Yarosh, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1600 University Ave W, Saint Paul, Minnesota |
| Authorized Official Name and Position | Scott Merrill Yarosh (OWNER) |
| Authorized Official Contact | 6519556255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott M Yarosh, Llc 1600 University Ave W Suite 205 Saint Paul MN 55104-3898 Ph: (651) 655-6255 | Scott M Yarosh, Llc 1600 University Ave W Suite 205 Saint Paul MN 55104-3898 Ph: (651) 655-6255 |
| NPI Number | 1144543265 |
|---|---|
| Provider Enumeration Date | 03/03/2010 |
| Last Update Date | 03/03/2010 |
| Medicare PECOS PAC ID | 5698801140 |
|---|---|
| Medicare Enrollment ID | O20100413000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144543265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 32260 (Minnesota) | Primary |
| Provider Name | Scott M Yarosh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871571109 PECOS PAC ID: 9931091006 Enrollment ID: I20040821000179 |
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