| Sherie Carlson Phd Lp Pllc | |
|
324 Broadway St Alexandria MN 56308-4771 | |
| (320) 762-1762 | |
| (320) 762-1762 |
| Full Name | Sherie Carlson Phd Lp Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 324 Broadway St, Alexandria, Minnesota |
| Authorized Official Name and Position | Sherie Lynn Carlson (PSYCHOLOGIST, OWNER) |
| Authorized Official Contact | 3207631763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherie Carlson Phd Lp Pllc 10090 Leaf Ln Nw Alexandria MN 56308-9794 Ph: (320) 491-7783 | Sherie Carlson Phd Lp Pllc 324 Broadway St Alexandria MN 56308-4771 Ph: (320) 762-1762 |
| NPI Number | 1285159582 |
|---|---|
| Provider Enumeration Date | 08/08/2017 |
| Last Update Date | 08/08/2017 |
| Medicare PECOS PAC ID | 8527331941 |
|---|---|
| Medicare Enrollment ID | O20170907000962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285159582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Sherie L Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366511354 PECOS PAC ID: 6103003991 Enrollment ID: I20110603000097 |
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