| Uptown Psychology Group | |
|
2908 Humboldt Ave S Minneapolis MN 55408-1953 | |
| (612) 524-5755 | |
| (612) 822-2766 |
| Full Name | Uptown Psychology Group |
|---|---|
| Speciality | Psychologist |
| Location | 2908 Humboldt Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Daniel Anthony Christensen (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6512601898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uptown Psychology Group 2908 Humboldt Ave S Minneapolis MN 55408-1953 Ph: (612) 524-5755 | Uptown Psychology Group 2908 Humboldt Ave S Minneapolis MN 55408-1953 Ph: (612) 524-5755 |
| NPI Number | 1245471861 |
|---|---|
| Provider Enumeration Date | 03/11/2009 |
| Last Update Date | 03/11/2009 |
| Medicare PECOS PAC ID | 9436208675 |
|---|---|
| Medicare Enrollment ID | O20090519000450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245471861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP4839 (Minnesota) | Primary |
| Provider Name | Kristen A Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619066446 PECOS PAC ID: 5597865113 Enrollment ID: I20070712000035 |
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