Organization
MEDITELECARE OF SOUTH DAKOTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA TROJANOWSKI (DIRECTOR OF REVENUE CYCLE)
(860) 788-6404
Entity
Organization
Contact information
Practice address
503 S PIERRE ST, PIERRE, SD 57501-4522
(860) 788-6404
(860) 829-0495
Mailing address
PO BOX 1595, MIDDLETOWN, CT 06457-8095
(860) 788-6404
(860) 829-0495
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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