MEDICARE: DR. HOLLY H CLAUSEN PHD, LP

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
1	2084N0400X	Neurology Physician	LP3529	MN
2	103G00000X	Clinical Neuropsychologist	LP3529	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	169452	OTHER	MN	UCARE
2	2028501	OTHER	MN	BLUE CROSS
3	268J1CL	OTHER	MN	BLUES
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1015083	OTHER	MN	PREFERRED ONE
6	6149957	OTHER	MN	MEDICA

General Provider Information

NPI Number	:	1417914318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOLLY H CLAUSEN PHD, LP

Provider Business Mailing Address
First Line	:	15 E MINNESOTA ST STE 105
Second Line	:
City	:	SAINT JOSEPH
State	:	MN
Zip	:	56374-4691
Country	:	US
Telephone Number	:	320-363-8055
Fax Number	:	320-363-8056

Provider Business Practice Location Address
First Line	:	15 E MINNESOTA ST STE 105
Second Line	:
City	:	SAINT JOSEPH
State	:	MN
Zip	:	56374-4691
Country	:	US
Telephone Number	:	320-363-8055
Fax Number	:	320-363-8056

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	05/28/2020

Similar Medicare Providers

1831723808 — DEVELOPMENTAL DIAGNOSTICS, LLC
Practice Location Address:

15 E MINNESOTA ST STE 105
SAINT JOSEPH, MN
56374-4691

Practice Phone: 320-363-8055
Practice Fax: 320-363-8056

1386522779 — ALEXANDRA MARIE RIEGER CNP
Practice Location Address:

15 E MINNESOTA ST STE 107
SAINT JOSEPH, MN
56374-4691

Practice Phone: 320-479-8500
Practice Fax:

1922162668 — DR. RONALD L TRIPLETT DMD
Practice Location Address:

11600 MANCHESTER RD , SUITE 202
SAINT LOUIS, MO
63131-4691

Practice Phone: 314-909-1717
Practice Fax: 314-909-6681

1124322193 — DR. AGUSTIN VEGA SANTIAGO M.D.
Practice Location Address:

4691 OLD CANOE CREEK RD
SAINT CLOUD, FL
34769-1550

Practice Phone: 407-498-4015
Practice Fax:

1194197863 — SUSAN GINOCCHIO PLPC
Practice Location Address:

11600 MANCHESTER RD
SAINT LOUIS, MO
63131-4691

Practice Phone: 314-994-9344
Practice Fax:

1043721525 — SHERI MONIQUE FISCHER RN
Practice Location Address:

4691 234TH CT NW
SAINT FRANCIS, MN
55070-9370

Practice Phone: 612-385-3491
Practice Fax:

Directions to “ DR. HOLLY H CLAUSEN PHD, LP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.