Dr Amy C Patella, PSYD | |
2428 E 117th St, Burnsville, MN 55337-1269 | |
(612) 444-3000 | |
(612) 444-9000 |
Full Name | Dr Amy C Patella |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 2428 E 117th St, Burnsville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053541987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 2009026801 (Missouri) | Secondary |
103TC0700X | Psychologist - Clinical | LP6507 (Minnesota) | Primary |
Entity Name | Valley Pain Relief And Wellness Center Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871915470 PECOS PAC ID: 7517198211 Enrollment ID: O20140321001462 |
Mailing Address | Practice Location Address |
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Dr Amy C Patella, PSYD 530 E 34th St, P.o. Box 2526, Joplin, MO 64804-3924 Ph: (417) 347-7520 | Dr Amy C Patella, PSYD 2428 E 117th St, Burnsville, MN 55337-1269 Ph: (612) 444-3000 |
Lauren K Rance, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 675 E Nicollet Blvd Ste 250, Burnsville, MN 55337 Phone: 952-993-3307 | |
David R Bradshaw, MED, LP Psychologist Medicare: Medicare Enrolled Practice Location: 14569 Grand Ave, Suite 200, Burnsville, MN 55306 Phone: 952-892-7690 Fax: 952-898-4930 | |
Dr. Jami Jeyn Hughes, PSY.D, BCBA-D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 201 W Travelers Trl Ste 212, Burnsville, MN 55337 Phone: 651-295-7440 Fax: 612-437-4499 | |
John M Gessner, MALP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2960 Judicial Rd, S 210, Burnsville, MN 55337 Phone: 952-224-2990 Fax: 952-224-2990 | |
Dorothy Eleanor Wintz, MA, LP Psychologist Medicare: Medicare Enrolled Practice Location: 1500 Mcandrews Rd W Ste 201, Burnsville, MN 55337 Phone: 952-892-8495 Fax: 952-892-8496 | |
Suzanne R Johnston, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 501 Highway 13 E, Suite 108, Burnsville, MN 55337 Phone: 952-564-3000 |