| St. Cloud Neurobehavioral Associates, Pa | |
|
3812 8th St N Ste 200 Saint Cloud MN 56303-1421 | |
| (320) 253-3833 | |
| (320) 253-5741 |
| Full Name | St. Cloud Neurobehavioral Associates, Pa |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 3812 8th St N Ste 200, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Annie L Vogel (OFFICE MANAGER) |
| Authorized Official Contact | 3202533833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Cloud Neurobehavioral Associates, Pa Po Box 230 Sartell MN 56377-0230 Ph: (320) 253-3833 | St. Cloud Neurobehavioral Associates, Pa 3812 8th St N Ste 200 Saint Cloud MN 56303-1421 Ph: (320) 253-3833 |
| NPI Number | 1043860109 |
|---|---|
| Provider Enumeration Date | 09/19/2019 |
| Last Update Date | 09/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043860109 | NPI | - | NPPES |
| C03196 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
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