Dr Barbara Christine Glass, LP | |
11 Civic Center Plz, Ste 201, Mankato, MN 56001-7710 | |
(507) 385-7725 | |
(507) 385-0576 |
Full Name | Dr Barbara Christine Glass |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 11 Civic Center Plz, Mankato, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417091810 | NPI | - | NPPES |
674247500 | Medicaid | MN | |
6155841 | Other | MN | UNITED BEHAVIORAL HEALTH |
297G6GL | Other | MN | BLUE CROSS |
120176 | Other | MN | UCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | LP1769 (Minnesota) | Primary |
Entity Name | Southern Valley Psychology Clinic, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407990807 PECOS PAC ID: 0042235590 Enrollment ID: O20051013000382 |
Mailing Address | Practice Location Address |
---|---|
Dr Barbara Christine Glass, LP 11 Civic Center Plz, Ste 201, Mankato, MN 56001-7710 Ph: (507) 385-7725 | Dr Barbara Christine Glass, LP 11 Civic Center Plz, Ste 201, Mankato, MN 56001-7710 Ph: (507) 385-7725 |
Elizabeth Ann Quinby, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1028 Woodland Ave, Mankato, MN 56001 Phone: 319-493-8773 | |
Ms. Janice Mary Boyum, MSLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 710 South 2nd St., Mankato, MN 56001 Phone: 507-625-7660 Fax: 507-625-8998 | |
Dr. Theodore Surdy, PHD LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1227 Caledonia St, Mankato, MN 56001 Phone: 507-388-8874 Fax: 507-685-4807 | |
Dr. Kimberly Ann Haala, PH.D., L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Dr. Nancy Fenrick, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 Reed St, Suite 115, Mankato, MN 56001 Phone: 507-625-4060 Fax: 507-625-3915 | |
Rosean Bishop, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
David Earl Hildebrandt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Martin Luther King Dr, Mankato, MN 56001 Phone: 507-385-6574 Fax: 507-385-6511 |