Child Psychology Services, Llc

LBN: Child Psychology Services, Llc
Child Psychology Services, Llc is an health care organization with primary practice located at 12940 Harriet Ave S Suite 250, Burnsville MN 55337-2680. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Child Psychology Services, Llc can be contacted via phone (612) 284-1557, or through Ehlert, Laura Sullivan via phone (612) 284-1557.

Contact Information

Primary practice address
12940 Harriet Ave S Suite 250 Burnsville MN 55337-2680
Phone: (612) 284-1557
Fax: (952) 432-3826
Website:
Map and Directions
Authorized official contact:
Name: Ehlert, Laura Sullivan PSY.D.
Phone: (612) 284-1557

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X LP5415 Minnesota

Profile Details

NPI number 1609095629
LBN Legal business name Child Psychology Services, Llc
DBA Doing business as
Authorized official Ehlert, Laura Sullivan PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2007
Last updated Jun 19th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609095629 NPPES
Minnesota Other 66G85CH BLUE CROSS BUSINESS
Minnesota Other 218191033686 BLUE CROSS BUSINESS

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