| Monarch Psychological Consulting Llc | |
|
217 Plum St # 140 Box 8a Red Wing MN 55066-2351 | |
| (651) 212-0851 | |
| (651) 385-9052 |
| Full Name | Monarch Psychological Consulting Llc |
|---|---|
| Speciality | Psychologist |
| Location | 217 Plum St # 140, Red Wing, Minnesota |
| Authorized Official Name and Position | Luann Marieda Klindworth (CEO) |
| Authorized Official Contact | 6512120851 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monarch Psychological Consulting Llc 217 Plum St # 140 Box 8a Red Wing MN 55066-2351 Ph: (651) 212-0851 | Monarch Psychological Consulting Llc 217 Plum St # 140 Box 8a Red Wing MN 55066-2351 Ph: (651) 212-0851 |
| NPI Number | 1639299597 |
|---|---|
| Provider Enumeration Date | 04/01/2007 |
| Last Update Date | 04/22/2014 |
| Medicare PECOS PAC ID | 9537114079 |
|---|---|
| Medicare Enrollment ID | O20050317000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639299597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP4039 (Minnesota) | Primary |
| Provider Name | Luann M Klindworth Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174560932 PECOS PAC ID: 8426940503 Enrollment ID: I20040325000493 |
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