Dr Bruce Keith Thordal, PHD | |
2870 Highview Ter, Eagan, MN 55121-1110 | |
(612) 860-1238 | |
(952) 948-1277 |
Full Name | Dr Bruce Keith Thordal |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 49 Years |
Location | 2870 Highview Ter, Eagan, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417091455 | NPI | - | NPPES |
201747400 | Other | MN | MEDICAL ASSISTANCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TB0200X | Psychologist - Cognitive & Behavioral | LP1135 (Minnesota) | Primary |
Entity Name | Consulting Psychologists Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740559699 PECOS PAC ID: 5597926832 Enrollment ID: O20120413000483 |
Mailing Address | Practice Location Address |
---|---|
Dr Bruce Keith Thordal, PHD 2870 Highview Ter, Eagan, MN 55121-1110 Ph: (612) 860-1238 | Dr Bruce Keith Thordal, PHD 2870 Highview Ter, Eagan, MN 55121-1110 Ph: (612) 860-1238 |
Roger Olsen, LP, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 4660 Slater Rd, Suite 210, Eagan, MN 55122 Phone: 651-882-6299 Fax: 651-683-0057 | |
Patrick Stephen Carney, L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 860 Blue Gentian Rd Ste 200, Eagan, MN 55121 Phone: 651-252-1050 | |
Michael Lee Bortel, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492 | |
Dr. Leslie Kyle Adair, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1121 Town Centre Dr, Eagan, MN 55123 Phone: 612-978-1852 Fax: 516-152-3286 | |
Dr. Karen Nicole Chinnock, PH.D, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 930 Blue Gentian Rd, Eagan, MN 55121 Phone: 651-348-8851 | |
Ms. Lyndall Johnson, MA LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4555 Erin Dr, #260, Eagan, MN 55122 Phone: 651-686-8818 | |
Dr. Annie Elizabeth Emanuel, PSY.D., L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4660 Slater Rd, Suite 210, Eagan, MN 55122 Phone: 651-882-6299 Fax: 651-683-0057 |