Dr Jan E Ketterling, PSYD is a
Psychologist - Clinical based in Breckenridge, Minnesota. Dr Jan E Ketterling is licensed to practice in Minnesota (license number MN LP 4296) and her current practice location is
2400 St Francis Drive, Hope Unit St Francis Medical Center, Breckenridge, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(218) 643-0499.
NPI number for Dr Jan E Ketterling is 1063542371 and her current mailing address is 17975 79th St Se, Wahpeton, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063542371.
Healthcare Provider's Profile
| Full Name | Dr Jan E Ketterling |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 2400 St Francis Drive, Breckenridge, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1063542371
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jan E Ketterling such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063542371 | NPI | - | NPPES |
| 056M4KE | Other | | BHSI |
| 11882 | Other | | NDMA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | MN LP 4296 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jan E Ketterling is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jan E Ketterling, PSYD
17975 79th St Se,
Wahpeton, ND 58075
Ph: (701) 642-6655 | Dr Jan E Ketterling, PSYD
2400 St Francis Drive, Hope Unit St Francis Medical Center,
Breckenridge, MN 56520
Ph: (218) 643-0499 |
Reviews and Comments