| Allison A Lundahl, LP | |
|
1600 Warren St Ste 6, Mankato, MN 56001-7113 | |
| (507) 389-1443 | |
| (855) 360-3593 |
| Full Name | Allison A Lundahl |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 1600 Warren St Ste 6, Mankato, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205196284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP6421 (Minnesota) | Primary |
| 103T00000X | Psychologist | 05112 (Maryland) | Secondary |
| Entity Name | Minnesota State Colleges & Universities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215000963 PECOS PAC ID: 2264334663 Enrollment ID: O20140121000489 |
| Mailing Address | Practice Location Address |
|---|---|
| Allison A Lundahl, LP 1600 Warren St Ste 6, Mankato, MN 56001-7113 Ph: (507) 389-1443 | Allison A Lundahl, LP 1600 Warren St Ste 6, Mankato, MN 56001-7113 Ph: (507) 389-1443 |
Ms. Janice Mary Boyum, MSLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 710 South 2nd St., Mankato, MN 56001 Phone: 507-625-7660 Fax: 507-625-8998 |
Dr. Theodore Surdy, PHD LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1227 Caledonia St, Mankato, MN 56001 Phone: 507-388-8874 Fax: 507-685-4807 |
Dr. Kimberly Ann Haala, PH.D., L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 |
Dr. Nancy Fenrick, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 Reed St, Suite 115, Mankato, MN 56001 Phone: 507-625-4060 Fax: 507-625-3915 |
Matthew John Conetta, PSY.D., L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1400 Madison Ave Ste 352, Mankato, MN 56001 Phone: 507-625-1811 Fax: 507-387-7785 |
Rosean Bishop, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 |
David Earl Hildebrandt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Martin Luther King Dr, Mankato, MN 56001 Phone: 507-385-6574 Fax: 507-385-6511 |