East River Psychological Services | |
3413 N Ohlman St Mitchell SD 57301-5052 | |
(605) 999-0728 | |
Not Available |
Full Name | East River Psychological Services |
---|---|
Speciality | Psychologist - Clinical |
Location | 3413 N Ohlman St, Mitchell, South Dakota |
Authorized Official Name and Position | Matthew Dee Christiansen (CLINICAL PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 6056307387 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
East River Psychological Services 3413 N Ohlman St Mitchell SD 57301-5052 Ph: (605) 999-0728 | East River Psychological Services 3413 N Ohlman St Mitchell SD 57301-5052 Ph: (605) 999-0728 |
NPI Number | 1598487308 |
---|---|
Provider Enumeration Date | 09/19/2022 |
Last Update Date | 09/19/2022 |
Certification Date | 09/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598487308 | NPI | - | NPPES |
1639136088 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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