Ryan Michael Engdahl, PHD, LP | |
1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | |
(320) 251-2700 | |
(320) 229-5109 |
Full Name | Ryan Michael Engdahl |
---|---|
Gender | Male |
Speciality | Psychologist - Clinical |
Location | 1406 6th Avenue North, St. Cloud, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407148588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | LP5519 (Minnesota) | Primary |
Entity Name | Centracare Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Entity Name | St Cloud Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
Mailing Address | Practice Location Address |
---|---|
Ryan Michael Engdahl, PHD, LP 1900 Centra Care Circle #2475, Centra Care Health Plaza, St. Cloud, MN 56303-5000 Ph: (320) 229-5199 | Ryan Michael Engdahl, PHD, LP 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 Ph: (320) 251-2700 |
Dr. Jayne Lokken, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Va Medical Center, St. Cloud, MN 56303 Phone: 320-252-1670 | |
Mr. Timothy Ryan Rysavy, PSYD, LP Psychologist Medicare: May Accept Medicare Assignments Practice Location: 251 County Road 120, St. Cloud, MN 56303 Phone: 320-258-3833 Fax: 320-253-5741 | |
Angela Rose Ackerman, LPCC Psychologist Medicare: Medicare Enrolled Practice Location: 3400 1st Street N, Suite 101, St. Cloud, MN 56303 Phone: 612-268-5858 | |
Jessica Rose Vander Weyst, PSYD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303 Phone: 320-251-2700 | |
Ms. Jennifer Kay Rocheleau Dorholt, PSYD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-229-5109 | |
Dr. Emily Anne Schmidtman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Drive, St. Cloud, MN 56329 Phone: 320-252-1670 |