| Ac Psychological Services Llc | |
|
112 University Dr N Ste 300 Fargo ND 58102-4661 | |
| (701) 253-1550 | |
| (701) 299-4510 |
| Full Name | Ac Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 112 University Dr N Ste 300, Fargo, North Dakota |
| Authorized Official Name and Position | Angela Collins (OWNER) |
| Authorized Official Contact | 7012531550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ac Psychological Services Llc 112 University Dr N Ste 300 Fargo ND 58102-4661 Ph: (701) 253-1550 | Ac Psychological Services Llc 112 University Dr N Ste 300 Fargo ND 58102-4661 Ph: (701) 253-1550 |
| NPI Number | 1043901101 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 05/18/2023 |
| Certification Date | 05/18/2023 |
| Medicare PECOS PAC ID | 5395103386 |
|---|---|
| Medicare Enrollment ID | O20230623000709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043901101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Angela B Collins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871827329 PECOS PAC ID: 7618379876 Enrollment ID: I20210709001676 |
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