| Dr Glenn Phillip Hirsch, PHD | |
|
2239 Carter Ave # 204, Saint Paul, MN 55108-1638 | |
| (612) 866-0955 | |
| (612) 624-0207 |
| Full Name | Dr Glenn Phillip Hirsch |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 2239 Carter Ave # 204, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437207115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP1068 (Minnesota) | Primary |
| Entity Name | Success Psychological Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184189714 PECOS PAC ID: 9234565425 Enrollment ID: O20240919000653 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glenn Phillip Hirsch, PHD 3721 E 26th St, Minneapolis, MN 55406-1730 Ph: (612) 866-0955 | Dr Glenn Phillip Hirsch, PHD 2239 Carter Ave # 204, Saint Paul, MN 55108-1638 Ph: (612) 866-0955 |
Dr. Daniel Anthony Christensen, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 190 5th St E, Suite 100, Saint Paul, MN 55101 Phone: 651-291-1979 | |
Mr. Paul Sterlacci, LIC. PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2375 University Ave W, Suite 160, Saint Paul, MN 55114 Phone: 651-642-1709 | |
Dr. Tamarind Knutson, PSY.D., L.P. Psychologist Medicare: Medicare Enrolled Practice Location: 1360 Energy Park Dr Ste 340, Saint Paul, MN 55108 Phone: 651-646-8985 | |
Ishaq Mohamud Ali, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 938 Sixth Street, Saint Paul, MN 55106 Phone: 315-450-7121 | |
Abdinoor Abdullahi Hassan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 967 5th St E, Saint Paul, MN 55106 Phone: 315-450-7121 | |
Mohamed Omar Galal, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 967 5th Street East, Saint Paul, MN 55106 Phone: 315-450-7121 Fax: 651-389-0540 | |
Jeffry Alan Cottle, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4164 Hemlock Ln, Saint Paul, MN 55127 Phone: 651-308-7176 |