| Mark R Fastner, MA LP | |
|
1811 Weir Drive, Suite 355 Mail Stop 13701a, Woodbury, MN 55125-2273 | |
| (651) 730-6151 | |
| (651) 730-1700 |
| Full Name | Mark R Fastner |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 1811 Weir Drive, Woodbury, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942278577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2844 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark R Fastner, MA LP 8100 34th Ave S, 21110q, Bloomington, MN 55425-1672 Ph: (952) 883-7961 | Mark R Fastner, MA LP 1811 Weir Drive, Suite 355 Mail Stop 13701a, Woodbury, MN 55125-2273 Ph: (651) 730-6151 |
Donna Ellena Peterson, MA LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1811 Weir Dr, Ste 355, Mail Stop 13701a, Woodbury, MN 55125 Phone: 651-254-4786 Fax: 651-228-8362 | |
Susan Sealy Arquette, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Bhsi, Llc, 7616 Currell Blvd, Suite 290, Woodbury, MN 55125 Phone: 651-769-6550 Fax: 651-769-6599 | |
Colleen M Daniewicz, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-501-3000 Fax: 651-501-3500 | |
Brianne M Marion, PSYD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 7582 Currell Blvd Ste 208, Woodbury, MN 55125 Phone: 651-739-7539 | |
Robin Zimmermann, LADC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1811 Weir Dr Ste 270, Woodbury, MN 55125 Phone: 651-398-6090 | |
Glen Staffan Bjornson, M.A., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7616 Currell Blvd, Suite 290, Woodbury, MN 55125 Phone: 651-730-7525 Fax: 651-769-6599 | |
Carli Braun Kody, PH.D., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 700 Commerce Dr Ste 295, Woodbury, MN 55125 Phone: 651-272-9777 |