| Stuart Krause Phd Clinical Psychology, Llc | |
|
550 N 5th St Ste 3210 Rapid City SD 57701-1375 | |
| (605) 791-0666 | |
| Not Available |
| Full Name | Stuart Krause Phd Clinical Psychology, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 550 N 5th St, Rapid City, South Dakota |
| Authorized Official Name and Position | Jim S Krause (OWNER) |
| Authorized Official Contact | 6057910666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stuart Krause Phd Clinical Psychology, Llc 643 Northern Lights Blvd Apt 1311 Box Elder SD 57719-6109 Ph: (605) 791-0666 | Stuart Krause Phd Clinical Psychology, Llc 550 N 5th St Ste 3210 Rapid City SD 57701-1375 Ph: (605) 791-0666 |
| NPI Number | 1831524370 |
|---|---|
| Provider Enumeration Date | 09/03/2013 |
| Last Update Date | 09/03/2013 |
| Medicare PECOS PAC ID | 4880824937 |
|---|---|
| Medicare Enrollment ID | O20140311001207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831524370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 511 (South Dakota) | Primary |
| Provider Name | Stuart Krause |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639232325 PECOS PAC ID: 3870723927 Enrollment ID: I20140311001283 |
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