| Mark Pederson, LP | |
|
102 Marty Dr, Buffalo, MN 55313 | |
| (763) 682-5420 | |
| (763) 682-5803 |
| Full Name | Mark Pederson |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 102 Marty Dr, Buffalo, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801994843 | NPI | - | NPPES |
| 110563 | Other | MN | UCARE |
| HP18919 | Other | MN | HEALTHPARTNERS |
| 62-20079 | Other | MN | MEDICA |
| 67D66PE | Other | MN | BLUE CROSS BLUE SHIELD |
| 1000260 | Other | MN | PREFERRED ONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP2544 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Pederson, LP 102 Marty Dr, Buffalo, MN 55313 Ph: (763) 682-5420 | Mark Pederson, LP 102 Marty Dr, Buffalo, MN 55313 Ph: (763) 682-5420 |
Mr. Monique Massa Miller, MS LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400 Fax: 763-682-1353 | |
Lori Gildersleeve, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 102 Marty Dr, Buffalo, MN 55313 Phone: 763-682-5420 Fax: 763-682-5803 | |
Mary Marty, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 102 Marty Dr, Buffalo, MN 55313 Phone: 763-682-5420 Fax: 763-682-5803 | |
Lorraine Hoffman, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 102 Marty Dr, Buffalo, MN 55313 Phone: 763-682-5420 | |
Thomas Daniel, MSW LICSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 Highway 25 N, Suite 108, Buffalo, MN 55313 Phone: 763-682-2011 Fax: 763-682-2165 | |
Dr. Emily Behrend Urke, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400 | |
Alex Macalena Jr., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 102 Marty Dr, Buffalo, MN 55313 Phone: 763-682-5420 |