| Stacia R Hanson, LP | |
|
7066 Stillwater Blvd N, Oakdale, MN 55128-3937 | |
| (651) 777-5222 | |
| (651) 251-5111 |
| Full Name | Stacia R Hanson |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 7066 Stillwater Blvd N, Oakdale, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033347505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 5101 (Minnesota) | Primary |
| Entity Name | Stacia Hanson Ma Lp Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871867549 PECOS PAC ID: 2769828706 Enrollment ID: O20240312003412 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacia R Hanson, LP 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 Ph: (651) 777-5222 | Stacia R Hanson, LP 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 Ph: (651) 777-5222 |
Dr. Thomas Guy Farrington, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7066 Stillwater Blvd N, Oakdale, MN 55128 Phone: 651-251-5130 | |
Julia Louise Conkel Ziebell, PH.D., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7066 Stillwater Blvd N, Oakdale, MN 55128 Phone: 651-777-5222 | |
Morgan Avery Krause, PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7066 Stillwater Blvd N, Oakdale, MN 55128 Phone: 651-777-5222 | |
Dr. James Wojcik, PH.D., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7066 Stillwater Blvd N, Oakdale, MN 55128 Phone: 651-777-5222 Fax: 651-251-5111 | |
Dr. Mark Kuppe, PSY.D., LP, LMFT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7066 Stillwater Blvd N, Oakdale, MN 55128 Phone: 651-777-5222 Fax: 651-251-5111 | |
Kevin Horst, M.A., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7066 Stillwater Blvd N, Oakdale, MN 55128 Phone: 651-777-5222 Fax: 651-251-5111 |