| Psychological Services, P.C. | |
|
600 22nd Ave Nw Northland Professional Building Minot ND 58703-0986 | |
| (701) 852-9113 | |
| (701) 838-0779 |
| Full Name | Psychological Services, P.C. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 600 22nd Ave Nw, Minot, North Dakota |
| Authorized Official Name and Position | Stephan Podrygula (PRESIDENT) |
| Authorized Official Contact | 7018529113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Services, P.C. 600 22nd Ave Nw Northland Professional Building Minot ND 58703-0986 Ph: (701) 852-9113 | Psychological Services, P.C. 600 22nd Ave Nw Northland Professional Building Minot ND 58703-0986 Ph: (701) 852-9113 |
| NPI Number | 1164624458 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 02/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164624458 | NPI | - | NPPES |
| 5241 | Other | ND | BCBS OF ND |
| 16946 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |
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