Brent Anderson, PSYD | |
3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | |
(952) 993-3400 | |
Not Available |
Full Name | Brent Anderson |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 3800 Park Nicollet Blvd, St Louis Park, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518471382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | LP6175 (* (Not Available)) | Primary |
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
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Brent Anderson, PSYD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Brent Anderson, PSYD 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-3400 |
Peter Mccormick Schaub, PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3123 | |
Piper Suzanne Kalos, PHD,, LP Psychologist Medicare: Medicare Enrolled Practice Location: 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416 Phone: 612-273-8710 | |
Dr. Adeya Richmond, PHD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 5353 Gamble Dr Ste 395, St Louis Park, MN 55416 Phone: 612-524-8763 | |
Dr. Rachel Jane Allyn, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4200 Minnetonka Blvd, St Louis Park, MN 55416 Phone: 801-661-3524 | |
Dr. Kristin A Kunzman, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3393 | |
Colette Kuhn, L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1660 Highway 100 S, Suite 250, St Louis Park, MN 55416 Phone: 651-645-5323 Fax: 952-746-5962 | |
Dr. Jennifer Jane Anderson, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2901 Princeton Ave, St Louis Park, MN 55416 Phone: 952-848-0140 Fax: 952-848-0140 |