Dr Leland Karl Martin, PHD | |
2434 Commerce Blvd Ste A, Mound, MN 55364-1480 | |
(952) 595-0562 | |
(952) 595-0564 |
Full Name | Dr Leland Karl Martin |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 38 Years |
Location | 2434 Commerce Blvd Ste A, Mound, Minnesota |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003855743 | NPI | - | NPPES |
783725900 | Medicaid | MN | |
HP27418 | Other | MN | HEALTH PARTNERS |
6129689 | Other | MN | UNITED BEHAVIORAL HEALTH |
169220 | Other | MN | COMPSYCH |
5H813MA | Other | MN | BLUE CROSS BLUE SHIELD |
109951 | Other | MN | BEHAVIORAL HEALTH CARE PR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | LP3095 (Minnesota) | Primary |
Entity Name | The Terrace Group Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114974201 PECOS PAC ID: 3577580794 Enrollment ID: O20051027000522 |
Mailing Address | Practice Location Address |
---|---|
Dr Leland Karl Martin, PHD 2434 Commerce Blvd Ste A, Mound, MN 55364-1480 Ph: (952) 595-0562 | Dr Leland Karl Martin, PHD 2434 Commerce Blvd Ste A, Mound, MN 55364-1480 Ph: (952) 595-0562 |
Mr. Daniel Paul Doshan, M.A., L.P. Psychologist Medicare: Medicare Enrolled Practice Location: 5200 Maywood Rd, Mound, MN 55364 Phone: 952-472-2408 Fax: 952-495-1409 | |
Dr. Audrey Mae Frederickson, PSY D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5200 Maywood Rd, Suite 202, Mound, MN 55364 Phone: 952-472-2408 Fax: 952-495-1409 | |
James Michael Baldus, PH.D., L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5200 Maywood Rd, Mound, MN 55364 Phone: 952-472-2408 |