Kiah G Staloch, PSYD | |
1027 Washington Ave, Detroit Lakes, MN 56501-3409 | |
(218) 847-5611 | |
Not Available |
Full Name | Kiah G Staloch |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 7 Years |
Location | 1027 Washington Ave, Detroit Lakes, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619344900 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | LP6386 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Marys Regional Health Center | 2062326820 | 159 |
Entity Name | St Marys Regional Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090 |
Mailing Address | Practice Location Address |
---|---|
Kiah G Staloch, PSYD 1702 University Dr S, Fargo, ND 58103-4940 Ph: (701) 364-8000 | Kiah G Staloch, PSYD 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611 |
Brian J Gatheridge, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 | |
Dr. Tessie Blake, PSY.D., L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1104 W River Rd, Detroit Lakes, MN 56501 Phone: 218-844-6853 | |
Donald W Preussler, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 Fax: 218-846-2114 | |
Dr. Gail Yvonne Pickett, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1219 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2244 | |
Dr. Elizabeth Evenson, PSY.D., LP Psychologist Medicare: Medicare Enrolled Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 | |
Dr. Amy April Missling, PSYD,LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-844-2444 | |
Dr. Shirley J Rader, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 801 Roosevelt Ave, Detroit Lakes, MN 56501 Phone: 218-847-5401 Fax: 218-573-2350 |