| Volk Human Services, Pc | |
|
501 3rd St Ne Ste 1 Devils Lake ND 58301-3006 | |
| (701) 662-1911 | |
| Not Available |
| Full Name | Volk Human Services, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 501 3rd St Ne Ste 1, Devils Lake, North Dakota |
| Authorized Official Name and Position | Tara Rhae Avdem (BUSINESS MANAGER) |
| Authorized Official Contact | 7016621911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Volk Human Services, Pc 501 3rd St Ne Ste 1 Devils Lake ND 58301-3006 Ph: (701) 662-1911 | Volk Human Services, Pc 501 3rd St Ne Ste 1 Devils Lake ND 58301-3006 Ph: (701) 662-1911 |
| NPI Number | 1003009457 |
|---|---|
| Provider Enumeration Date | 08/20/2007 |
| Last Update Date | 08/20/2007 |
| Medicare PECOS PAC ID | 3173606019 |
|---|---|
| Medicare Enrollment ID | O20080214000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003009457 | NPI | - | NPPES |
| 14236 | Medicaid | ND | |
| 1560-01 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 269 (North Dakota) | Primary |
| Provider Name | Gregory S Volk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093811473 PECOS PAC ID: 2062484728 Enrollment ID: I20040812000166 |
| Provider Name | Brennan D Atherton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215319330 PECOS PAC ID: 4981027190 Enrollment ID: I20200707001484 |
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