Linda June Johnson, LP | |
2780 Snelling Ave N Ste 104, Roseville, MN 55113-7115 | |
(651) 633-5290 | |
(651) 633-5238 |
Full Name | Linda June Johnson |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 2780 Snelling Ave N Ste 104, Roseville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063638427 | NPI | - | NPPES |
44177JO | Other | MN | BCBSM NON PAR PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | LP4157 (Minnesota) | Primary |
Entity Name | Northstar Regional |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659764587 PECOS PAC ID: 8921346669 Enrollment ID: O20190228000530 |
Mailing Address | Practice Location Address |
---|---|
Linda June Johnson, LP 4444 W Lake Harriet Pkwy Apt 9, Minneapolis, MN 55410-1962 Ph: (612) 285-7731 | Linda June Johnson, LP 2780 Snelling Ave N Ste 104, Roseville, MN 55113-7115 Ph: (651) 633-5290 |
Kenneth B. Little, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1935 County Road B2 W Ste 120, Roseville, MN 55113 Phone: 651-964-0235 Fax: 651-340-5652 | |
Dr. Gail Hegeman, PH D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1711 County Road B West, Suite 144s, Roseville, MN 55113 Phone: 651-635-0909 Fax: 612-822-8669 | |
Kevin M Harrington, PHD LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113 Phone: 651-241-5290 Fax: 651-241-5248 | |
Mr. Steven Roger Wiese, L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2780 Snelling Ave N Ste 104, Roseville, MN 55113 Phone: 651-633-5290 Fax: 651-633-5238 | |
Dr. Layla Asamarai, PSYD. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1611 County Road B W Ste 218, Roseville, MN 55113 Phone: 612-877-0777 Fax: 651-358-2996 | |
Pamela Johnson, MA, LMFT, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1751 County Road B W Ste 100, Roseville, MN 55113 Phone: 612-719-5636 |