| Dr Marguerite Vasshti Butler, PHD, LP | |
|
2120 Park Ave, Minneapolis, MN 55404-3378 | |
| (651) 774-0011 | |
| (651) 774-0606 |
| Full Name | Dr Marguerite Vasshti Butler |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 2120 Park Ave, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215998166 | NPI | - | NPPES |
| 996488600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4506 (Minnesota) | Primary |
| Entity Name | People Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215104831 PECOS PAC ID: 7012043540 Enrollment ID: O20100409000071 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marguerite Vasshti Butler, PHD, LP 4557 Oakland Ave, Minneapolis, MN 55407-3533 Ph: (612) 227-0455 | Dr Marguerite Vasshti Butler, PHD, LP 2120 Park Ave, Minneapolis, MN 55404-3378 Ph: (651) 774-0011 |
Dr. Jennifer Gozy, PSYD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 7601 Wayzata Blvd, Minneapolis, MN 55426 Phone: 612-223-8898 Fax: 612-223-8899 | |
Dr. Kristi E. White, PH.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2700 E Lake St, Minneapolis, MN 55406 Phone: 612-873-6963 Fax: 612-276-0188 | |
Patricia Lynn Layton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3033 Excelsior Blvd, Suite 565, Minneapolis, MN 55416 Phone: 612-926-8802 Fax: 612-926-8915 | |
Mary Melton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 909 Fulton St Se, Building 2, Minneapolis, MN 55455 Phone: 612-672-7422 | |
Dr. Virginia Anne Mcdermott, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 825 Nicollet Mall, Suite 1630, Minneapolis, MN 55402 Phone: 612-673-9988 | |
Dr. Ray Martin Conroe, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-725-2000 | |
Dr. Diane Louise Stellrecht, PHD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4027 County Road 25, Minneapolis, MN 55416 Phone: 612-925-6033 Fax: 612-925-8496 |