| Karen Leta Gillespie, | |
|
7954 University Ave Ne, Fridley, MN 55432-1860 | |
| (763) 780-3036 | |
| Not Available |
| Full Name | Karen Leta Gillespie |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 7954 University Ave Ne, Fridley, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730725482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 3772 (Minnesota) | Primary |
| 221700000X | Art Therapist | 18-345 (NU) | Secondary |
| Entity Name | Indian Health Board of Minneapolis Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811999162 PECOS PAC ID: 6002727849 Enrollment ID: O20050825000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Karen Leta Gillespie, 901 18 1/2 Ave Ne, Minneapolis, MN 55418-4522 Ph: (612) 220-4610 | Karen Leta Gillespie, 7954 University Ave Ne, Fridley, MN 55432-1860 Ph: (763) 780-3036 |
Catherine Marin, M.A., LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 5155 E River Rd Ste 401, Fridley, MN 55421 Phone: 763-780-3307 Fax: 763-780-3306 |
Matthew Brent Merriman, M.A., LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 6341 University Ave Ne, Fridley, MN 55432 Phone: 612-672-6999 |
Mrs. Tricia K. Gibson, M.A., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7260 University Ave Ne, Suite 235, Fridley, MN 55432 Phone: 763-572-2605 Fax: 763-572-2606 |
Emily Gail Erickson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7362 University Ave Ne, Fridley, MN 55432 Phone: 952-546-4044 Fax: 888-675-8262 |
Vonda Malone Tiede, MA MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7671 Central Ave Ne, Fridley, MN 55432 Phone: 763-786-8067 |
Molly Jean Gurovitsch, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1250 Moore Lake Dr E Ste 152, Fridley, MN 55432 Phone: 612-389-2332 Fax: 612-389-2338 |
William Leonard Hicks, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7671 Central Ave Ne, Suite 208, Fridley, MN 55432 Phone: 763-786-8067 Fax: 763-786-5080 |