Linda June Johnson, LP | |
500 Marschall Rd Ste 100, Shakopee, MN 55379-2689 | |
(952) 448-6557 | |
(952) 448-6047 |
Full Name | Linda June Johnson |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 500 Marschall Rd Ste 100, Shakopee, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063638427 | NPI | - | NPPES |
44177JO | Other | MN | BCBSM NON PAR PROVIDER # |
958125100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | LP4157 (Minnesota) | Primary |
Entity Name | Northstar Regional |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659764587 PECOS PAC ID: 8921346669 Enrollment ID: O20190228000530 |
Mailing Address | Practice Location Address |
---|---|
Linda June Johnson, LP 4444 W Lake Harriet Pkwy Apt 9, Minneapolis, MN 55410-1962 Ph: (612) 285-7731 | Linda June Johnson, LP 500 Marschall Rd Ste 100, Shakopee, MN 55379-2689 Ph: (952) 448-6557 |
Linda Louise Miller, MA LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 327 S Marschall Rd, Suite 250, Shakopee, MN 55379 Phone: 651-769-6500 Fax: 651-769-6549 | |
Deborah A Battles, MA, LP Psychologist Medicare: Medicare Enrolled Practice Location: 200 4th Ave W, Government Center Rm 300, Shakopee, MN 55379 Phone: 952-496-8396 | |
Sally Phillips, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 327 Marschall Rd, Suite 250, Shakopee, MN 55379 Phone: 651-769-6500 Fax: 651-769-6549 | |
Ms. Kimberly Ann Christensen, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 4th Ave W, Shakopee, MN 55379 Phone: 952-496-8565 Fax: 952-496-8355 | |
Dr. Keith Wayne Fridel, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7750 | |
Anisa Sophia Mohammed, PSYD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 4th Ave W, #300, Shakopee, MN 55379 Phone: 952-496-8614 |