| Dr Theodore Surdy, PHD LP | |
|
1227 Caledonia St, Mankato, MN 56001-4329 | |
| (507) 388-8874 | |
| (507) 685-4807 |
| Full Name | Dr Theodore Surdy |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 1227 Caledonia St, Mankato, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063463347 | NPI | - | NPPES |
| 06T04SU | Other | MN | BXBS |
| 114945 | Other | MN | UCARE MINNESOTA |
| HP28628 | Other | MN | HEALTH PARTNERS |
| 114945 | Other | FM | UNITED |
| 497823400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP3385 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theodore Surdy, PHD LP 1227 Caledonia St, Mankato, MN 56001-4329 Ph: (507) 388-8874 | Dr Theodore Surdy, PHD LP 1227 Caledonia St, Mankato, MN 56001-4329 Ph: (507) 388-8874 |
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. 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 |
Dr. Tyler Maxwell Dority, PHD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 12 Civic Center Plz Ste 1615, Mankato, MN 56001 Phone: 507-345-4679 |