Organization
MANKATO CHILD PSYCHOLOGY CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYLVIA ELAINE ASHLEY-CAMERON PHD (PRESIDENT OWNER)
(507) 345-5590
Entity
Organization
Contact information
Practice address
220 E MAIN STREET, SUITE 204 MANKATO CHILD PSYCHOLOGY CLINIC PA, MANKATO, MN 56001
(507) 345-5590
(507) 345-3550
Mailing address
220 E MAIN STREET, SUITE 204 MANKATO CHILD PSYCHOLOGY CLINIC PA, MANKATO, MN 56001
(507) 345-5590
(507) 345-3550
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1391
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42552AS
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/25/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us