| Modern Mind Wellness | |
|
25691 S. Fairburn Rd Fairburn SD 57738 | |
| (507) 218-8394 | |
| Not Available |
| Full Name | Modern Mind Wellness |
|---|---|
| Speciality | Psychologist |
| Location | 25691 S. Fairburn Rd, Fairburn, South Dakota |
| Authorized Official Name and Position | Trevor D Frybarger (MANAGER/LICENSED THERAPIST) |
| Authorized Official Contact | 5072188394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Mind Wellness Po Box 94 Fairburn SD 57738-0094 Ph: () - | Modern Mind Wellness 25691 S. Fairburn Rd Fairburn SD 57738 Ph: (507) 218-8394 |
| NPI Number | 1972372746 |
|---|---|
| Provider Enumeration Date | 12/21/2023 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972372746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |