Sue A Dallman (NPI# 1669566865, PAC ID# 7113928540) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1669566865 |
| PAC ID by PECOS | 7113928540 |
| Professional Enrollment ID | I20070126000483 |
| Full Name | Sue A Dallman |
| Organization Legal Name | CENTERLIFE COUNSELING LLC |
| Address |
4444 Centerville Rd Suite 235 Saint Paul MN 55127-3712 |
| Phone Number | 6512893111 |
| Gender | F |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1975 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 0547391187 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4444 Centerville Rd, Suite 235, Saint Paul, MN 55127-3712 | 6512893111 | CENTERLIFE COUNSELING LLC |
| Organization Legal Name | CENTERLIFE COUNSELING LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane E Bauer | Clinical Social Worker | Centerlife Counseling LLC | 4444 Centerville Rd, Suite 235, Saint Paul, MN 55127-3712 |
| Gretchen S Kirvida | Clinical Social Worker | Centerlife Counseling LLC | 7039 20th Ave, Centerville, MN 55038-9737 |
| Leanne M Mairs | Clinical Social Worker | Centerlife Counseling LLC | 4444 Centerville Rd, Suite 235, Saint Paul, MN 55127-3712 |
| James S Anthony | Psychologist, Clinical | Centerlife Counseling LLC | 4444 Centerville Rd, Suite 235, Saint Paul, MN 55127-3712 |
| Joanne S Kurzmann | Clinical Social Worker | Centerlife Counseling LLC | 7039 20th Ave, Centerville, MN 55038-9737 |
| Ann M Schissel | Psychologist, Clinical | Centerlife Counseling LLC | 7039 20th Ave, Centerville, MN 55038-9737 |
| Mary F Williams | Psychologist, Clinical | Centerlife Counseling LLC | 4444 Centerville Rd, Suite 235, Saint Paul, MN 55127-3712 |
| Linda Cherek | Clinical Social Worker | Centerlife Counseling LLC | 7039 20th Ave, Centerville, MN 55038-9737 |
| Sonya L Knudson | Psychologist, Clinical | Centerlife Counseling LLC | 4444 Centerville Rd, Suite 235, Saint Paul, MN 55127-3712 |
| Kirsten B Christenson | Clinical Social Worker | Centerlife Counseling LLC | 7039 20th Ave, Centerville, MN 55038-9737 |
| Street Address |
4444 CENTERVILLE RD SUITE 235 |
| City | SAINT PAUL |
| State | MN |
| Zip | 55127-3712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane E Bauer | Clinical Social Worker | Centerlife Counseling LLC | 4444 Centerville Rd, Suite 235, Saint Paul, MN 55127-3712 |
| Leanne M Mairs | Clinical Social Worker | Centerlife Counseling LLC | 4444 Centerville Rd, Suite 235, Saint Paul, MN 55127-3712 |
| James S Anthony | Psychologist, Clinical | Centerlife Counseling LLC | 4444 Centerville Rd, Suite 235, Saint Paul, MN 55127-3712 |
| Mary F Williams | Psychologist, Clinical | Centerlife Counseling LLC | 4444 Centerville Rd, Suite 235, Saint Paul, MN 55127-3712 |
| Sonya L Knudson | Psychologist, Clinical | Centerlife Counseling LLC | 4444 Centerville Rd, Suite 235, Saint Paul, MN 55127-3712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne M Pearson | Family Medicine | Healtheast Medical Research Institute | 480 Hwy 96 E, Vadnais Heights, MN 55127-2557 |
| Kenneth Worlanyo Wutoh | Physical Therapy | Novacare Outpatient Rehabilitation East Inc | 480 Hwy 96 E, Suite 120, Vadnais Heights, MN 55127-2557 |
| Kristel A St Ores | Nurse Practitioner | Healtheast Medical Research Institute | 480 Hwy 96 E, Vadnais Heights, MN 55127-2557 |
| Emily Ann Yee | Physical Therapy | Novacare Outpatient Rehabilitation East Inc | 480 Hwy 96 E, Suite 120, Vadnais Heights, MN 55127-2557 |
| Christopher J Shearen | Maxillofacial Surgery | Andreasen Kent Gadient and Associates PC | 700 Village Ctr Dr, Suite 170, North Oaks, MN 55127-3025 |
| Bridget Axelson | Optometry | Edina Eye Physicians and Surgeons Pa | 4520 Centerville Rd, Saint Paul, MN 55127-3602 |
| George R Wandling Jr. | Ophthalmology | Edina Eye Physicians and Surgeons Pa | 4520 Centerville Rd, Saint Paul, MN 55127-3602 |
| Mark C Lobanoff | Ophthalmology | Edina Eye Physicians and Surgeons Pa | 4520 Centerville Rd, Saint Paul, MN 55127-3602 |
| Timothy A Eggimann | Optometry | Edina Eye Physicians and Surgeons Pa | 4520 Centerville Rd, Saint Paul, MN 55127-3602 |
| Michael E Fried | Clinical Social Worker | Healtheast Medical Research Institute | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 |
| Find all physicians in zip 55127 | |||
| City | SAINT PAUL |
| Zip Code | 55127 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | SAINT PAUL + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.