| East River Psychological Services | |
|
3413 N Ohlman St Mitchell SD 57301-5052 | |
| (605) 999-0728 | |
| Not Available |
| Full Name | East River Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3413 N Ohlman St, Mitchell, South Dakota |
| Authorized Official Name and Position | Matthew Dee Christiansen (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 6056307387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East River Psychological Services 3413 N Ohlman St Mitchell SD 57301-5052 Ph: (605) 999-0728 | East River Psychological Services 3413 N Ohlman St Mitchell SD 57301-5052 Ph: (605) 999-0728 |
| NPI Number | 1598487308 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598487308 | NPI | - | NPPES |
| 1639136088 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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