is a Clinical in Forest Lake, Minnesota. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1871544478. The last update date is .
's current location address is 1540 Lake St S, Forest Lake, Minnesota. You can contact this provider via phone number 6514647100 and fax number 6519825515. The mailing address for is 1540 Lake St S, Forest Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 1540 Lake St S, Forest Lake, Minnesota |
Phone Number | 6514647100 |
Fax Number | 6519825515 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1871544478 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 1540 Lake St S |
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City | Forest Lake |
State | Minnesota (MN) |
Post Code | 5502526280 |
Phone Number | 6514647100 |
Fax Number | 6519825515 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | LP2545 |
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 |
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