| Mr Gregory T Anderson, LP | |
|
214 W Superior St, Skywalk Level, Duluth, MN 55802-1904 | |
| (218) 722-2273 | |
| (218) 726-1183 |
| Full Name | Mr Gregory T Anderson |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Counseling |
| Location | 214 W Superior St, Duluth, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285741819 | NPI | - | NPPES |
| 1016110 | Other | MN | PREFERRED ONE BHP |
| 46092 | Other | MN | OPTUM |
| 024 R1LA | Other | MN | BLUE CROSS/BLUE SHIELD |
| 943752500 | Medicaid | MN | |
| 106621 | Other | MN | U CARE |
| 62-21313 | Other | MN | MEDICA / UBH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | LP1457 (Minnesota) | Primary |
| 1041C0700X | Social Worker - Clinical | 7341 (Minnesota) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gregory T Anderson, LP 1401 East First Street, Duluth, MN 55805 Ph: (218) 728-4491 | Mr Gregory T Anderson, LP 214 W Superior St, Skywalk Level, Duluth, MN 55802-1904 Ph: (218) 722-2273 |
Ms. Kelly Jean Ravenfeather, MS ED, LP, LMFT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 230 E Superior St Ste 101, Duluth, MN 55802 Phone: 218-726-5433 Fax: 218-279-2844 | |
Mya Camryn Taylor, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 432 N 11th Ave E, Duluth, MN 55805 Phone: 763-442-0726 | |
Mr. James F Gruba, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1401 E 1st St, Duluth, MN 55805 Phone: 218-728-4491 Fax: 218-728-4404 | |
Ruth Elaine Olson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 530 E 2nd St, Duluth, MN 55805 Phone: 218-786-5360 | |
Ms. Lisa Marie Fedora, M.A., L.P. Psychologist Medicare: Medicare Enrolled Practice Location: 11 E Superior St Ste 415, Duluth, MN 55802 Phone: 218-249-0595 Fax: 218-461-3666 | |
Dr. Tara Lynn Richter, PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 205 W 2nd St Ste 120, Duluth, MN 55802 Phone: 218-481-7909 Fax: 218-481-7910 | |
Robin Joy Anderson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 502 E 2nd St, Duluth, MN 55805 Phone: 218-727-8762 |