| Ms Earlyn Dorothy Pengelly, MA, MS | |
|
430 Patterson Ave, Mankato, MN 56001-2309 | |
| (507) 388-5801 | |
| (507) 388-2715 |
| Full Name | Ms Earlyn Dorothy Pengelly |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 430 Patterson Ave, Mankato, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710004163 | NPI | - | NPPES |
| 57786PE | Other | MN | BLUE CROSS BLUE SHIELD |
| 120002 | Other | MN | UCARE INSURANCE |
| 6120605 | Other | MN | MEDICA, UBH |
| HP28654 | Other | MN | HEALTH PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP1114 (Minnesota) | Primary |
| 1041C0700X | Social Worker - Clinical | 4137 (Minnesota) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Earlyn Dorothy Pengelly, MA, MS 430 Patterson Ave, Mankato, MN 56001-2309 Ph: (507) 388-5801 | Ms Earlyn Dorothy Pengelly, MA, MS 430 Patterson Ave, Mankato, MN 56001-2309 Ph: (507) 388-5801 |
Elizabeth Ann Quinby, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1028 Woodland Ave, Mankato, MN 56001 Phone: 319-493-8773 | |
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. Theodore Surdy, PHD LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1227 Caledonia St, Mankato, MN 56001 Phone: 507-388-8874 Fax: 507-685-4807 | |
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: Medicare Enrolled 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 |