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NPI Code Detail

MEDICARE: ASSOCIATES IN PSYCHIATRY AND PSYCHOLOGY

MEDICARE: ASSOCIATES IN PSYCHIATRY AND PSYCHOLOGY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TP2701XGroup Psychotherapy Psychologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922145622
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASSOCIATES IN PSYCHIATRY AND PSYCHOLOGY
Provider Business Mailing Address
First Line : 3101 SUPERIOR DR NW
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-1993
Country : US
Telephone Number : 507-288-8544
Fax Number : 507-288-8545
Provider Business Practice Location Address
First Line : 3101 SUPERIOR DR NW
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-1993
Country : US
Telephone Number : 507-288-8544
Fax Number : 507-288-8544
Authorized Official
Title or Position : OWNER
Name : MRS. BONITA KAY PATTON
Credential : PH.D., L.P.
Telephone Number : 507-288-8544
Provider Enumeration Date : 01/31/2007
Last Update Date : 03/19/2018

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Directions to “ASSOCIATES IN PSYCHIATRY AND PSYCHOLOGY ” Practice Location

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