| Stenlund Psychological Services Llc | |
|
516 S Pokegama Ave Suite B Grand Rapids MN 55744-3800 | |
| (218) 327-8937 | |
| (218) 327-0348 |
| Full Name | Stenlund Psychological Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 516 S Pokegama Ave, Grand Rapids, Minnesota |
| Authorized Official Name and Position | Bryan Jon Stenlund (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 2183278937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stenlund Psychological Services Llc 516 S Pokegama Ave Suite B Grand Rapids MN 55744-3800 Ph: (218) 327-8937 | Stenlund Psychological Services Llc 516 S Pokegama Ave Suite B Grand Rapids MN 55744-3800 Ph: (218) 327-8937 |
| NPI Number | 1134534076 |
|---|---|
| Provider Enumeration Date | 06/30/2014 |
| Last Update Date | 01/22/2016 |
| Medicare PECOS PAC ID | 1658687744 |
|---|---|
| Medicare Enrollment ID | O20160203000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134534076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LP2760 (Minnesota) | Primary |
| Provider Name | Bryan J Stenlund |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1790795797 PECOS PAC ID: 6901853258 Enrollment ID: I20050407001114 |
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