Mr Jeffrey Brown, MA LP | |
1405 Lilac Dr N, Ste 130, Golden Valley, MN 55422-4536 | |
(763) 566-0922 | |
(763) 503-9491 |
Full Name | Mr Jeffrey Brown |
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Gender | Male |
Speciality | Psychologist |
Location | 1405 Lilac Dr N, Golden Valley, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730163478 | NPI | - | NPPES |
663282300 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | LP 2069 (Minnesota) | Primary |
Entity Name | Family Based Therapy Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194762005 PECOS PAC ID: 2264432681 Enrollment ID: O20070110000019 |
Mailing Address | Practice Location Address |
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Mr Jeffrey Brown, MA LP 1405 Lilac Drive N, Ste 130, Golden Valley, MN 55422-4536 Ph: (763) 566-0922 | Mr Jeffrey Brown, MA LP 1405 Lilac Dr N, Ste 130, Golden Valley, MN 55422-4536 Ph: (763) 566-0922 |
Dr. Mary Ann Hayes, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7575 Golden Valley Rd, Suite 305, Golden Valley, MN 55427 Phone: 612-581-7539 | |
Mr. Todd Robert Winkler, M.A. L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8401 Wayzata Blvd Ste 370, Golden Valley, MN 55426 Phone: 763-544-1006 Fax: 763-544-1008 | |
Mr. Dennis Lee Flom, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1520 Xenia Ave N, Golden Valley, MN 55422 Phone: 763-544-8882 Fax: 763-545-9807 | |
Dr. Terry E Zuehlke, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7575 Golden Valley Rd, Suite 230, Golden Valley, MN 55427 Phone: 763-525-8590 Fax: 763-525-8592 | |
Joan Estrem Weidling, LMFT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7575 Golden Valley Rd, Suite 230, Golden Valley, MN 55427 Phone: 763-525-8590 Fax: 763-525-8592 | |
Mr. Harold William Pickett Jr., PSYD LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 701 Decatur Ave N, Suite 109, Golden Valley, MN 55427 Phone: 763-746-2400 Fax: 763-462-2401 | |
Dr. Ellie Covin, PSY.D, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1405 Lilac Dr N, Golden Valley, MN 55422 Phone: 763-545-7708 Fax: 763-545-3479 |