Matthew John Conetta, PSYD, LP | |
610 Florence Ave, Owatonna, MN 55060-4704 | |
(203) 895-9883 | |
(507) 455-8133 |
Full Name | Matthew John Conetta |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 610 Florence Ave, Owatonna, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083299531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | LP6658 (Minnesota) | Primary |
Entity Name | Open Door Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891740908 PECOS PAC ID: 7012944085 Enrollment ID: O20150930001410 |
Mailing Address | Practice Location Address |
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Matthew John Conetta, PSYD, LP 610 Florence Ave, Owatonna, MN 55060-4704 Ph: (507) 451-2630 | Matthew John Conetta, PSYD, LP 610 Florence Ave, Owatonna, MN 55060-4704 Ph: (203) 895-9883 |
Dr. Megan Elizabeth Rogers, M.A., PSY.D., L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 610 Florence Ave, Owatonna, MN 55060 Phone: 507-446-1214 | |
David Holtan Moll, MS, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 610 Florence Ave, Owatonna, MN 55060 Phone: 507-451-2630 Fax: 507-455-8133 | |
Dr. Adrienne Vanzomeren, PH.D., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 202 N Cedar Ave Ste 1, Owatonna, MN 55060 Phone: 651-796-1480 | |
Gene A Johnson, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 610 Florence Ave, Owatonna, MN 55060 Phone: 507-451-2630 Fax: 507-455-8133 | |
Dr. Jeanne M Allen, PSY.D.,L.P.,R.N. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 610 Florence Ave, Owatonna, MN 55060 Phone: 507-451-2630 Fax: 507-455-8133 | |
Ms. Shelley A. L. Leutschaft, PHD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1560 Deer Trail Ln Ne, Owatonna, MN 55060 Phone: 317-743-5539 Fax: 972-323-8640 |