| Linda Odriscoll, MA, LMFT | |
|
1101 E 78th Street, Suite 100, Bloomington, MN 55431 | |
| (952) 854-5034 | |
| (952) 854-5363 |
| Full Name | Linda Odriscoll |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 1101 E 78th Street, Bloomington, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902352289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 3291 (Minnesota) | Primary |
| Entity Name | Nystrom & Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Odriscoll, MA, LMFT 1900 Silver Lake Road Nw, Suite 110, New Brighton, MN 55112 Ph: (651) 379-1718 | Linda Odriscoll, MA, LMFT 1101 E 78th Street, Suite 100, Bloomington, MN 55431 Ph: (952) 854-5034 |
Judith Louise Ross Agustin, M.S., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8100 Penn Ave S Ste 150h, Bloomington, MN 55431 Phone: 612-314-6012 | |
Ms. Carolynne J Moffat, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7800 Metro Pkwy, Suite 300, Bloomington, MN 55425 Phone: 651-278-7607 Fax: 952-851-9618 | |
Debbie Lynn Hennen-bergman, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8100 Penn Ave S, Suite 104, Bloomington, MN 55431 Phone: 952-457-8557 | |
Mr. David Alois Praska Jr., MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1101 E 78th St Ste 100, Bloomington, MN 55420 Phone: 952-854-5034 Fax: 952-854-5363 | |
Brian Patrick Zirngible, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1101 E 78th St, Suite 318, Bloomington, MN 55420 Phone: 612-670-5848 | |
Melissa Lee Gawlik, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 8120 Penn Ave S Ste 270, Bloomington, MN 55431 Phone: 800-336-5973 | |
Ms. Mary B Keen, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7900 International Dr, Suite 287, Bloomington, MN 55425 Phone: 952-851-5540 Fax: 952-851-5541 |