| Dr Vanessa Boerhave, PSYD, LP | |
|
8611 W Point Douglas Rd S, Cottage Grove, MN 55016 | |
| (651) 458-1884 | |
| Not Available |
| Full Name | Dr Vanessa Boerhave |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 8611 W Point Douglas Rd S, Cottage 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 |
|---|---|---|---|
| 1639680473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP6167 (Minnesota) | Primary |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vanessa Boerhave, PSYD, LP 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Dr Vanessa Boerhave, PSYD, LP 8611 W Point Douglas Rd S, Cottage Grove, MN 55016 Ph: (651) 458-1884 |
John Bennett, M.A., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8451 Point Douglas Road E, Cottage Grove, MN 55016 Phone: 651-458-4116 Fax: 651-458-5632 | |
Casandra Jewel Clark, Psychologist Medicare: Medicare Enrolled Practice Location: 8682 Inwood Ave S, Cottage Grove, MN 55016 Phone: 651-341-9660 |