| Stone Arch Psychology And Health Services | |
|
219 Main St Se Ste 400 Minneapolis MN 55414 | |
| (612) 886-2524 | |
| (612) 886-2538 |
| Full Name | Stone Arch Psychology And Health Services |
|---|---|
| Speciality | Psychologist |
| Location | 219 Main St Se Ste 400, Minneapolis, Minnesota |
| Authorized Official Name and Position | Susan Gustafson (PSYCHOLOGIST) |
| Authorized Official Contact | 6128862524 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Arch Psychology And Health Services 219 Main St Se Ste 400 Minneapolis MN 55414-2151 Ph: (612) 886-2524 | Stone Arch Psychology And Health Services 219 Main St Se Ste 400 Minneapolis MN 55414 Ph: (612) 886-2524 |
| NPI Number | 1124398607 |
|---|---|
| Provider Enumeration Date | 12/30/2011 |
| Last Update Date | 06/11/2018 |
| Medicare PECOS PAC ID | 6709045784 |
|---|---|
| Medicare Enrollment ID | O20120312000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124398607 | NPI | - | NPPES |
| Provider Name | Susan A Gustafson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073686655 PECOS PAC ID: 8123084993 Enrollment ID: I20041203000117 |
| Provider Name | Christopher J Turner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033581863 PECOS PAC ID: 2567750565 Enrollment ID: I20161006001269 |
| Provider Name | Samuel L Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013434299 PECOS PAC ID: 2769877562 Enrollment ID: I20220314001676 |
| Provider Name | Helen Yunyue Wu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598360885 PECOS PAC ID: 8820444573 Enrollment ID: I20231101000325 |
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