Somers Psychological Services, P.a. | |
7225 Forestview Ln N Maple Grove MN 55369-5501 | |
(763) 201-1090 | |
(763) 201-1095 |
Full Name | Somers Psychological Services, P.a. |
---|---|
Speciality | Community/behavioral Health |
Location | 7225 Forestview Ln N, Maple Grove, Minnesota |
Authorized Official Name and Position | Peter J Somers (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 7632011090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Somers Psychological Services, P.a. 7225 Forestview Ln N Maple Grove MN 55369-5501 Ph: (763) 201-1090 | Somers Psychological Services, P.a. 7225 Forestview Ln N Maple Grove MN 55369-5501 Ph: (763) 201-1090 |
NPI Number | 1184988966 |
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Provider Enumeration Date | 06/27/2012 |
Last Update Date | 06/27/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184988966 | NPI | - | NPPES |
913252000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LP1856 (Minnesota) | Primary |
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