| Emily Wacker, | |
|
2550 University Ave W, Saint Paul, MN 55114-1052 | |
| (952) 993-6200 | |
| Not Available |
| Full Name | Emily Wacker |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 2550 University Ave W, 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 |
|---|---|---|---|
| 1588021190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 2991 (Minnesota) | Primary |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Wacker, 3351 Xylon Ave S, St Louis Park, MN 55426-3807 Ph: (715) 377-5192 | Emily Wacker, 2550 University Ave W, Saint Paul, MN 55114-1052 Ph: (952) 993-6200 |
Mrs. Melissa Lea Urbanek, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2550 University Ave W, Ste 435 S, Saint Paul, MN 55114 Phone: 651-647-1900 Fax: 651-647-1861 | |
Erin Morgan, PHD Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 970 Raymond Ave Ste 106, Saint Paul, MN 55114 Phone: 612-208-8870 | |
Mai Bao Xiong, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 451 Lexington Pkwy N, Saint Paul, MN 55104 Phone: 651-280-2310 Fax: 651-280-3995 | |
Sarah Lindsey, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1114 Grand Ave, Saint Paul, MN 55105 Phone: 612-229-9188 | |
Linnea Mccosh, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2265 Como Ave, Saint Paul, MN 55108 Phone: 888-364-5977 | |
Nicole Ross, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 740 York Ave, Saint Paul, MN 55106 Phone: 651-793-7367 | |
Megan Jean Boom Shedlock, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4444 Centerville Rd, Suite 235, Saint Paul, MN 55127 Phone: 651-289-9385 Fax: 651-289-3113 |