Mankato Child Psychology Clinic Pa
LBN: Mankato Child Psychology Clinic Pa
Mankato Child Psychology Clinic Pa is an health care organization with primary practice located at 220 E Main Street Suite 204 Mankato Child Psychology Clinic Pa, Mankato MN 56001. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty.
Mankato Child Psychology Clinic Pa can be contacted via phone (507) 345-5590, or through Ashley-Cameron, Sylvia Elaine via phone (507) 345-5590.
Contact Information
Primary practice address
220 E Main Street Suite 204 Mankato Child Psychology Clinic Pa
Mankato MN 56001
Phone: (507) 345-5590
Fax: (507) 345-3550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP1391 | Minnesota |
Profile Details
| NPI number | 1316047517 |
|---|---|
| LBN Legal business name | Mankato Child Psychology Clinic Pa |
| DBA Doing business as | |
| Authorized official | Ashley-Cameron, Sylvia Elaine PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316047517 | NPPES |
| Other | 42552AS | BLUE CROSS BLUE SHIELD |
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