| Mr Edward C Modahl, MS ED LP | |
|
324 Broadway St Ste 206, Alexandria, MN 56308-1482 | |
| (320) 762-1762 | |
| (320) 762-0796 |
| Full Name | Mr Edward C Modahl |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 324 Broadway St Ste 206, Alexandria, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831268812 | NPI | - | NPPES |
| 218G3MO | Other | MN | BLUE CROSS BLUE SHIELD |
| 138070 | Other | BHP | |
| 571052900 | Other | MN | PRIMEWEST HEALTH SYSTEMS |
| 571052900 | Medicaid | MN | |
| 6267221 | Other | UBH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP0834 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edward C Modahl, MS ED LP 604 Winter Green, Alexandria, MN 56308 Ph: (320) 808-9310 | Mr Edward C Modahl, MS ED LP 324 Broadway St Ste 206, Alexandria, MN 56308-1482 Ph: (320) 762-1762 |
Lisa Ann Voigt, PSYD,LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 700 Cedar St, Ste 154, Alexandria, MN 56308 Phone: 320-762-2400 Fax: 320-762-8047 | |
Ms. Nancy Claire Kiger, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 700 Cedar St, Ste 154, Alexandria, MN 56308 Phone: 320-762-2400 Fax: 320-762-8047 | |
Dr. Collin Ross Modahl, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 324 Broadway St Ste 206, Alexandria, MN 56308 Phone: 320-762-1762 Fax: 320-762-1762 | |
Mrs. Sherie Lynn Carlson, PHD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 324 Broadway St, Ste 206, Alexandria, MN 56308 Phone: 320-762-1762 Fax: 320-762-0796 | |
Dr. Joyce Elaine Johnson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1307 State Highway 29 N, Alexandria, MN 56308 Phone: 320-808-1349 Fax: 320-762-5640 | |
Dr. Roxanne Marie Anderson, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1527 Broadway St, Alexandria, MN 56308 Phone: 320-763-4587 Fax: 320-762-6827 | |
Mary Hammargren, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 625 Broadway St Ste 105, Alexandria, MN 56308 Phone: 320-763-4100 Fax: 320-763-4100 |