| Surdy Family Services | |
|
403 S Broad St Ste 20 Mankato MN 56001-3893 | |
| (507) 304-7020 | |
| (507) 304-7022 |
| Full Name | Surdy Family Services |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 403 S Broad St Ste 20, Mankato, Minnesota |
| Authorized Official Name and Position | Taryn Nicole Surdy (OWNER) |
| Authorized Official Contact | 5073047020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surdy Family Services 403 S Broad St Ste 20 Mankato MN 56001-3893 Ph: (507) 304-7020 | Surdy Family Services 403 S Broad St Ste 20 Mankato MN 56001-3893 Ph: (507) 304-7020 |
| NPI Number | 1215523477 |
|---|---|
| Provider Enumeration Date | 12/11/2020 |
| Last Update Date | 02/09/2021 |
| Certification Date | 02/09/2021 |
| Medicare PECOS PAC ID | 6709293541 |
|---|---|
| Medicare Enrollment ID | O20210324000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215523477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Michael L Moeller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598765877 PECOS PAC ID: 2365437274 Enrollment ID: I20080326000865 |
| Provider Name | Taryn N Surdy |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821684085 PECOS PAC ID: 4880001627 Enrollment ID: I20240301002796 |
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