| Holm Psychological Services Llc | |
|
1585 Thomas Center Dr Ste 106 Eagan MN 55122-3007 | |
| (612) 405-8409 | |
| Not Available |
| Full Name | Holm Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1585 Thomas Center Dr Ste 106, Eagan, Minnesota |
| Authorized Official Name and Position | Lindsey Ann Holm (OWNER/ LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6124058409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holm Psychological Services Llc 1585 Thomas Center Dr Ste 106 Eagan MN 55122-3007 Ph: (612) 405-8409 | Holm Psychological Services Llc 1585 Thomas Center Dr Ste 106 Eagan MN 55122-3007 Ph: (612) 405-8409 |
| NPI Number | 1184330623 |
|---|---|
| Provider Enumeration Date | 01/27/2023 |
| Last Update Date | 01/27/2023 |
| Certification Date | 01/27/2023 |
| Medicare PECOS PAC ID | 9335504851 |
|---|---|
| Medicare Enrollment ID | O20230504002364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184330623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lindsey Ann Holm |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922552249 PECOS PAC ID: 8921352493 Enrollment ID: I20181120000476 |
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