Thomas L. Price Inc | |
6810 S Lyncrest Ave Ste 201 Sioux Falls SD 57108-2515 | |
(605) 274-1119 | |
(605) 271-9983 |
Full Name | Thomas L. Price Inc |
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Speciality | Psychologist |
Location | 6810 S Lyncrest Ave Ste 201, Sioux Falls, South Dakota |
Authorized Official Name and Position | Thomas L Price (CEO) |
Authorized Official Contact | 6052741119 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thomas L. Price Inc 68010 S Lyncrest Ave Ste 201 Sioux Falls SD 57108-2515 Ph: (605) 274-1119 | Thomas L. Price Inc 6810 S Lyncrest Ave Ste 201 Sioux Falls SD 57108-2515 Ph: (605) 274-1119 |
NPI Number | 1114240504 |
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Provider Enumeration Date | 03/12/2010 |
Last Update Date | 03/12/2010 |
Medicare PECOS PAC ID | 4082746136 |
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Medicare Enrollment ID | O20100726000094 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114240504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 154 (South Dakota) | Primary |
Provider Name | Thomas L Price |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1518055078 PECOS PAC ID: 2860486313 Enrollment ID: I20040408001206 |
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