Melissa Anderson Psychological Services, Pllc

LBN: Melissa Anderson Psychological Services, Pllc
Melissa Anderson Psychological Services, Pllc is an health care organization with primary practice located at 316 Elm Ave , Moose Lake MN 55767-7706. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Melissa Anderson Psychological Services, Pllc can be contacted via phone (218) 485-4445, or through Anderson, Melissa Jean via phone (218) 485-4445.

Contact Information

Primary practice address
316 Elm Ave Moose Lake MN 55767-7706
Phone: (218) 485-4445
Fax: (218) 485-0477
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Melissa Jean PSYD
Phone: (218) 485-4445

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5864 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1494 Minnesota

Profile Details

NPI number 1306224365
LBN Legal business name Melissa Anderson Psychological Services, Pllc
DBA Doing business as
Authorized official Anderson, Melissa Jean PSYD
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2015
Last updated May 11th, 2015 - about 10 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 1306224365 NPPES
Minnesota MEDICAID 094906000

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