Ed Yerka Psychologocial Services, Lpc

NPI 1043344849 - Psychologist - 103TC0700X

NPI Details
NPI 1043344849
Enumeration Date 03/15/2007
Last Updated 05/27/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name EDWIN CHARLES EDWIN
Position LICENSED PSYCHOLOGIST
Phone (320) 269-3800
Fax (507) 401-2568
Practice Location
408 N 1ST ST
SUITE 2
MONTEVIDEO MN, 56265-4549, US
Phone (320) 269-3800
Fax (507) 401-2568
Business Location
120 N 3RD ST
SUITE 10
MARSHALL MN, 56258-1325, US
Phone (507) 929-9411
Fax (507) 401-2568
Toxanomy
Taxonomy Code 103TC0700X
License State Minnesota
License Number LP 4390
Remove 1043344849 NPI Number
 

According to our database, Ed Yerka Psychologocial Services, Lpc NPI is 1043344849, taxonomy code is 103TC0700X and license number is LP 4390, license state is located at Minnesota. Ed Yerka Psychologocial Services, Lpc physically located at 408 N 1st St, Montevideo MN, 56265-4549. NPI Number 1033115704 has the healthcare provider type.

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1043344849 NPI number is provided on an as is basis without warranty of any kind. 1043344849 is maintained by the National Plan & Provider Enumeration System. The contents of Ed Yerka Psychologocial Services, Lpc are for informational purposes only.