Mr Trevor Mark Wolterstorff, | |
7511 S Louise Ave, Sioux Falls, SD 57108-5997 | |
(605) 312-8700 | |
(757) 446-8401 |
Full Name | Mr Trevor Mark Wolterstorff |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 7511 S Louise Ave, Sioux Falls, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639637689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 642 (South Dakota) | Primary |
Entity Name | Sanford Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821017880 PECOS PAC ID: 8325950215 Enrollment ID: O20040115000388 |
Mailing Address | Practice Location Address |
---|---|
Mr Trevor Mark Wolterstorff, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | Mr Trevor Mark Wolterstorff, 7511 S Louise Ave, Sioux Falls, SD 57108-5997 Ph: (605) 312-8700 |
Dr. Rachel Mcclure, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2501 W 22nd St, Sioux Falls, SD 57105 Phone: 605-336-3230 | |
Dr. Thomas Charles Himler, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 S Cliff Ave, Sioux Falls, SD 57105 Phone: 605-332-3706 | |
Joel Sonnichsen, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 201 E 38th St, Sioux Falls, SD 57105 Phone: 605-367-7924 | |
Nancy Ann Johnson, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4400 W. 69th St., Ste. 1500, Sioux Falls, SD 57108 Phone: 605-322-5700 Fax: 605-322-5704 | |
Ashton Moody, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 201 E 38th St, Sioux Falls, SD 57105 Phone: 605-367-7924 | |
Dr. Jennifer Kae Helkenn, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2109 S Norton Ave, Sioux Falls, SD 57105 Phone: 605-334-2696 | |
Brenda Michelle Lindsay Nour, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4400 W 69th St Ste 1500, Sioux Falls, SD 57108 Phone: 605-480-1482 |