Diane Bosl, MS LP | |
818 2nd St S, Suite 180, Waite Park, MN 56387-4528 | |
(320) 257-1800 | |
(320) 257-1801 |
Full Name | Diane Bosl |
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Gender | Female |
Speciality | Psychologist |
Location | 818 2nd St S, Waite 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 |
---|---|---|---|
1689765232 | NPI | - | NPPES |
928250500 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | LP 2823 (Minnesota) | Primary |
104100000X | Social Worker | 7148 (Minnesota) | Secondary |
Entity Name | Catholic Charities Of The Diocese Of St Cloud |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780711341 PECOS PAC ID: 0648165928 Enrollment ID: O20040217000001 |
Mailing Address | Practice Location Address |
---|---|
Diane Bosl, MS LP 818 2nd Street South, Suite 180 Granite City Counseling, Llc, Waite Park, MN 56387 Ph: (320) 257-1800 | Diane Bosl, MS LP 818 2nd St S, Suite 180, Waite Park, MN 56387-4528 Ph: (320) 257-1800 |
Dr. Jennifer Lynne Miller, PH.D., LP Psychologist Medicare: May Accept Medicare Assignments Practice Location: 110 2nd St S, Suite #303, Waite Park, MN 56387 Phone: 320-217-6025 | |
Susan Westerlind, PSY. D., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 2nd St. S., Ste 301, Waite Park, MN 56387 Phone: 320-252-2976 Fax: 320-656-1570 | |
Mrs. Nancy Lynn Holden, MSLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 2nd St S, Suite 222, Waite Park, MN 56387 Phone: 320-259-7022 Fax: 320-259-7022 | |
Kirk L Lamb, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 2nd St S, Suite 301, Waite Park, MN 56387 Phone: 320-252-2976 Fax: 320-656-1570 | |
Lisa J Torborg, PSY. D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 110 2nd St S, Suite 301, Waite Park, MN 56387 Phone: 320-252-2976 Fax: 320-656-1570 | |
Ms. Sondra Kay Lawrence, M.S.,L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 2nd St S Ste 222, Waite Park, MN 56387 Phone: 320-202-7750 Fax: 320-259-7023 |