Minnesota Family Psychological Services Llc | |
7382 Kirkwood Ct Maple Grove MN 55369-5270 | |
(763) 424-3704 | |
(763) 424-8315 |
Full Name | Minnesota Family Psychological Services Llc |
---|---|
Speciality | Psychologist - Clinical |
Location | 7382 Kirkwood Ct, Maple Grove, Minnesota |
Authorized Official Name and Position | Marcia Rogers (OWNER) |
Authorized Official Contact | 7634243704 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Minnesota Family Psychological Services Llc 7382 Kirkwood Ct Maple Grove MN 55369-5270 Ph: (763) 424-3704 | Minnesota Family Psychological Services Llc 7382 Kirkwood Ct Maple Grove MN 55369-5270 Ph: (763) 424-3704 |
NPI Number | 1386855534 |
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Provider Enumeration Date | 05/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386855534 | NPI | - | NPPES |
359G0RO | Other | MN | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | LP3691 (Minnesota) | Primary |
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