| Rebecca Suzanne Preussler, PSYD | |
|
2400 32nd Ave S, Fargo, ND 58103-5800 | |
| (701) 234-2000 | |
| Not Available |
| Full Name | Rebecca Suzanne Preussler |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 2400 32nd Ave S, Fargo, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497776736 | NPI | - | NPPES |
| 13393 | Medicaid | ND | |
| 365471100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 378 (North Dakota) | Primary |
| 103TP0814X | Psychologist - Psychoanalysis | 180004394 (Illinois) | Secondary |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Suzanne Preussler, PSYD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Rebecca Suzanne Preussler, PSYD 2400 32nd Ave S, Fargo, ND 58103-5800 Ph: (701) 234-2000 |
Dr. Jaryn Lynn Allen, PH.D., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4733 Amber Valley Pkwy S Ste W, Fargo, ND 58104 Phone: 701-368-7400 | |
Dr. Nicola Ashton Herting, PHD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-2000 | |
Ryan D Jagim, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-4141 Fax: 701-234-4024 | |
Dr. Sarah R. Edwards, LP, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3309 Fiechtner Dr S Ste H, Fargo, ND 58103 Phone: 218-303-6164 | |
Dr. Ani Celine Mangold, PHD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 1635 43rd St S Ste 105, Fargo, ND 58103 Phone: 218-287-4338 | |
Ellee Bergren, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 700 7th St S, Fargo, ND 58103 Phone: 701-446-1014 | |
Jay Robert Phillippi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 112 University Dr N Ste 300, Fargo, ND 58102 Phone: 701-866-3641 Fax: 701-660-1071 |