| Essential Psychology Pllc | |
|
216 E Main St Ste 4 Albert Lea MN 56007-2982 | |
| (507) 383-2560 | |
| Not Available |
| Full Name | Essential Psychology Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 216 E Main St Ste 4, Albert Lea, Minnesota |
| Authorized Official Name and Position | Ella Mae Wiemerslage (CEO) |
| Authorized Official Contact | 5073832560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Psychology Pllc 216 E Main St Ste 4 Albert Lea MN 56007-2982 Ph: (507) 383-2560 | Essential Psychology Pllc 216 E Main St Ste 4 Albert Lea MN 56007-2982 Ph: (507) 383-2560 |
| NPI Number | 1568245454 |
|---|---|
| Provider Enumeration Date | 08/15/2023 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Medicare PECOS PAC ID | 2769833573 |
|---|---|
| Medicare Enrollment ID | O20240105002236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568245454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Ella Mae Wiemerslage |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538117494 PECOS PAC ID: 4981782760 Enrollment ID: I20240105002289 |
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