Minnesota Family Psychological Services Llc in Maple Grove - Clinical

Minnesota Family Psychological Services Llc - NPI 1386855534

Minnesota Family Psychological Services Llc is a Clinical in Maple Grove, Minnesota. Minnesota Family Psychological Services Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Minnesota Family Psychological Services Llc is 1386855534. The last update date is 2020-08-22.

Minnesota Family Psychological Services Llc's current location address is 7382 Kirkwood Ct, Maple Grove, Minnesota. You can contact this provider via phone number 7634243704 and fax number 7634248315. The mailing address for Minnesota Family Psychological Services Llc is 7382 Kirkwood Ct, Maple Grove, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Minnesota Family Psychological Services Llc
Address 7382 Kirkwood Ct, Maple Grove, Minnesota
Phone Number 7634243704
Fax Number 7634248315
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Rogers Marcia
Credentials PSY.D.
Telephone Number 7634243704

NPI Number Detail

NPI Number 1386855534
Provider Enumeration Date 2007-05-26
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 7382 Kirkwood Ct
City Maple Grove
State Minnesota (MN)
Post Code 553695270
Phone Number 7634243704
Fax Number 7634248315

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No LP3691
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
359G0RO MN BLUE CROSS

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FAQs about Minnesota Family Psychological Services Llc

What is the Minnesota Family Psychological Services Llc's unique identification number?

The Minnesota Family Psychological Services Llc has been assigned the NPI (National Provider Identifier) Number 1386855534 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Minnesota Family Psychological Services Llc is located?

The Minnesota Family Psychological Services Llc is situated at the following address: 7382 Kirkwood Ct, Maple Grove, MN, 553695270.

What is Minnesota Family Psychological Services Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Minnesota Family Psychological Services Llc's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.

When was the Minnesota Family Psychological Services Llc's 1386855534 issued?

The Minnesota Family Psychological Services Llc's 1386855534 was issued on 2007-05-26.

When was the information pertaining to Minnesota Family Psychological Services Llc most recently updated or revised?

The details related to Minnesota Family Psychological Services Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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