Dr Lisa Joyce Keller Salvaggio, PSYD, LP | |
120 Labree Ave S, Thief River Falls, MN 56701-2819 | |
(218) 683-4349 | |
Not Available |
Full Name | Dr Lisa Joyce Keller Salvaggio |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 120 Labree Ave S, Thief River Falls, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346676897 | NPI | - | NPPES |
H400917182 | Other | MN | ENROLLMENT PART B |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | LP6349 (Minnesota) | Primary |
Entity Name | Sanford Health Network North |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386047355 PECOS PAC ID: 8022206663 Enrollment ID: O20180205002429 |
Entity Name | Entwine Ii Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124725361 PECOS PAC ID: 5496120453 Enrollment ID: O20230405002602 |
Mailing Address | Practice Location Address |
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Dr Lisa Joyce Keller Salvaggio, PSYD, LP Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Dr Lisa Joyce Keller Salvaggio, PSYD, LP 120 Labree Ave S, Thief River Falls, MN 56701-2819 Ph: (218) 683-4349 |
Dr. Danielle Alene Jordan, PH.D., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 120 Labree Ave S, Thief River Falls, MN 56701 Phone: 218-683-4351 Fax: 218-683-4362 | |
Scott Bradley Bentson, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 120 Labree Ave S, Thief River Falls, MN 56701 Phone: 218-681-4240 Fax: 218-683-4632 | |
Dr. Rene Helen Mooney, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 313 Riverside Ave, Thief River Falls, MN 56701 Phone: 218-755-5050 | |
Dr. Paul Adams, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1720 Highway 59 S, Northwest Medical Center Mental Health Division, Thief River Falls, MN 56701 Phone: 218-683-4351 Fax: 218-683-4362 | |
Michael Robert Schake, M.A. LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 120 Labree Ave South, Thief River Falls, MN 56701 Phone: 218-681-4240 Fax: 651-645-3534 | |
Dr. Sherrie Ann Kahn, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 120 Labree Ave S, Thief River Falls, MN 56701 Phone: 218-683-4351 Fax: 218-683-4362 |