| Richard Puckett, LPMED | |
|
2618 Emerald Dr, Grand Rapids, MN 55744-5060 | |
| (218) 327-9013 | |
| (218) 327-9013 |
| Full Name | Richard Puckett |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Counseling |
| Location | 2618 Emerald Dr, Grand Rapids, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639275761 | NPI | - | NPPES |
| 223G6PU | Other | MN | BLUE CROSS BLUE SHIELD MN |
| 6254190 | Other | MN | MEDICA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 1835 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Puckett, LPMED 2618 Emerald Dr, Grand Rapids, MN 55744-5060 Ph: (218) 327-9013 | Richard Puckett, LPMED 2618 Emerald Dr, Grand Rapids, MN 55744-5060 Ph: (218) 327-9013 |
Cathleen Bengtson, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 215 Se 2nd Ave, Grand Rapids, MN 55744 Phone: 218-326-1274 | |
Avrielle Jewel Schneider, LADC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1215 Se 7th Ave, Grand Rapids, MN 55744 Phone: 218-327-1105 Fax: 218-327-1932 | |
Dr. William Walter Larsen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 525 Itasca St, Grand Rapids, MN 55744 Phone: 218-327-2295 Fax: 218-327-2295 | |
Patricia Cortese, LICSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 35382 Us Highway 2, Grand Rapids, MN 55744 Phone: 218-327-4886 Fax: 218-327-4848 | |
Dr. Justin Gambill, PSYD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 35382 Us Highway 2, Grand Rapids, MN 55744 Phone: 218-327-4886 | |
Carolyn Grieve, LPMED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2618 Emerald Dr, Grand Rapids, MN 55744 Phone: 218-327-9013 Fax: 218-327-9013 | |
Donald Farnsworth, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 215 Se 2nd Ave, Grand Rapids, MN 55744 Phone: 218-327-1274 |