Angela Boykin, PHD | |
14576 111th Ave N, Maple Grove, MN 55369-9300 | |
(559) 273-3410 | |
Not Available |
Full Name | Angela Boykin |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 14576 111th Ave N, Maple Grove, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598757783 | NPI | - | NPPES |
08154 | Other | NE | BLUE CROSS BLUE SHIELD NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | LP6781 (Minnesota) | Primary |
Entity Name | Total Life Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053909267 PECOS PAC ID: 8123433034 Enrollment ID: O20240213001834 |
Mailing Address | Practice Location Address |
---|---|
Angela Boykin, PHD 1540 Spring Valley Dr, Huntington, WV 25704-9300 Ph: (304) 429-6675 | Angela Boykin, PHD 14576 111th Ave N, Maple Grove, MN 55369-9300 Ph: (559) 273-3410 |
Michelle K. Pemble-frazey, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9555 Upland Ln N, Maple Grove, MN 55369 Phone: 952-993-1440 | |
Sally Rose Brinza, PHD LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7225 Forestview Ln N, Maple Grove, MN 55369 Phone: 612-978-5058 Fax: 763-201-1095 | |
Dr. Michaela Monetti, PH.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 763-898-1000 | |
Dr. Jennifer G Enstad, PSY.D., L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7372 Kirkwood Ct, Maple Grove, MN 55369 Phone: 763-416-4167 Fax: 763-416-4137 | |
Dr. Matthew Kingsbury, PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 11316 86th Ave N, Maple Grove, MN 55369 Phone: 763-400-8000 Fax: 763-400-8000 | |
Dr. Rochelle Elizabeth Mccourtney Gredvig, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120 | |
Dr. Teresa Biehn, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9555 Upland Ln N, Maple Grove, MN 55369 Phone: 952-993-1440 |