Organization
MEDITELECARE OF SOUTH DAKOTA, LLC
Active
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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