| The Institute For Psychological & Sexual Health, Inc. | |
|
314 W Superior St Suite 600 Duluth MN 55802-1805 | |
| (218) 727-7353 | |
| (218) 727-2646 |
| Full Name | The Institute For Psychological & Sexual Health, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 314 W Superior St, Duluth, Minnesota |
| Authorized Official Name and Position | Christos Petsoulis (DIRECTOR) |
| Authorized Official Contact | 2187277353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Institute For Psychological & Sexual Health, Inc. 314 W Superior St Suite 600 Duluth MN 55802-1805 Ph: (218) 727-7353 | The Institute For Psychological & Sexual Health, Inc. 314 W Superior St Suite 600 Duluth MN 55802-1805 Ph: (218) 727-7353 |
| NPI Number | 1588794515 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 12/18/2008 |
| Medicare PECOS PAC ID | 1850454471 |
|---|---|
| Medicare Enrollment ID | O20090108000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588794515 | NPI | - | NPPES |
| 29A16IN | Other | MN | BLUE CROSS BLUE SHIELD |
| Provider Name | Theresa M Carr |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1346269602 PECOS PAC ID: 4082662184 Enrollment ID: I20050105000686 |
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