| Psychological Associates Of Yankton, Llc | |
|
2703 Fox Run Pkwy Ste 200 Yankton SD 57078-5382 | |
| (605) 665-0258 | |
| (605) 665-2707 |
| Full Name | Psychological Associates Of Yankton, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2703 Fox Run Pkwy Ste 200, Yankton, South Dakota |
| Authorized Official Name and Position | Taryn Sue Van Gilder-pierce (CO-OWNER) |
| Authorized Official Contact | 6056650258 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Associates Of Yankton, Llc 2703 Fox Run Pkwy Ste 200 Yankton SD 57078-5382 Ph: (605) 665-0258 | Psychological Associates Of Yankton, Llc 2703 Fox Run Pkwy Ste 200 Yankton SD 57078-5382 Ph: (605) 665-0258 |
| NPI Number | 1396805297 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 07/16/2020 |
| Certification Date | 07/16/2020 |
| Medicare PECOS PAC ID | 8820084338 |
|---|---|
| Medicare Enrollment ID | O20040421000961 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396805297 | NPI | - | NPPES |
| 1396805297 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Taryn S Vangilder Pierce |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588639009 PECOS PAC ID: 3971599481 Enrollment ID: I20110418000717 |
| Provider Name | Alexandra L Pagel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336595834 PECOS PAC ID: 7911379698 Enrollment ID: I20230206001947 |
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