| Ms Pamela Gilliam Martin, MA | |
|
2324 University Ave W Ste 120, Saint Paul, MN 55114-1854 | |
| (651) 644-4100 | |
| Not Available |
| Full Name | Ms Pamela Gilliam Martin |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2324 University Ave W Ste 120, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407346125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Minnesota Center For Psychology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023258662 PECOS PAC ID: 2264583954 Enrollment ID: O20090618000654 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Pamela Gilliam Martin, MA 3339 Holmes Avenue, Minneapolis, MN 55408 Ph: (612) 386-1521 | Ms Pamela Gilliam Martin, MA 2324 University Ave W Ste 120, Saint Paul, MN 55114-1854 Ph: (651) 644-4100 |
Yvette Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 762 Transfer Rd Ste 21, Saint Paul, MN 55114 Phone: 218-355-8978 | |
Miss Kelly Pertzsch, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2265 Como Ave, Saint Paul, MN 55108 Phone: 651-645-5325 Fax: 651-379-6141 | |
Abigail Brown, MA, LADC Counselor Medicare: Medicare Enrolled Practice Location: 1246 University Ave W, Saint Paul, MN 55104 Phone: 651-404-2000 | |
Pang Xiong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 451 Lexington Pkwy N, Saint Paul, MN 55104 Phone: 651-280-2310 Fax: 651-280-3995 | |
Ms. Elizabeth Subramaniam, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 658 Grand Ave, Saint Paul, MN 55105 Phone: 612-920-2030 | |
Kyle Lipinski, MSS, LADC Counselor Medicare: Medicare Enrolled Practice Location: 438 Dorothy Day Pl, Saint Paul, MN 55102 Phone: 651-793-2219 | |
Noah Rector, LICSW, LADC, MED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2353 Rice St, Saint Paul, MN 55113 Phone: 612-979-2683 |