Merriam Park Psychological Services, Pa

LBN: Merriam Park Psychological Services, Pa
Merriam Park Psychological Services, Pa is an health care organization with primary practice located at 1678 Selby Avenue , St. Paul MN 55104. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Merriam Park Psychological Services, Pa can be contacted via phone (651) 647-5722, or through Maule-Kronmiller, Alison C via phone (651) 647-5722.

Contact Information

Primary practice address
1678 Selby Avenue St. Paul MN 55104
Fax: (651) 647-5723
Website:
Authorized official contact:
Name: Maule-Kronmiller, Alison C

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1194937623
LBN Legal business name Merriam Park Psychological Services, Pa
DBA Doing business as
Authorized official Maule-Kronmiller, Alison C
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2007
Last updated May 26th, 2010 - about 14 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 1194937623 NPPES
Minnesota Other 826823100 MEDICAL ASSISTANCE
Minnesota Other 01H82MA MEDICAL ASSISTANCE
Minnesota Other 01H83MA MEDICAL ASSISTANCE
Minnesota Other 107019 MEDICAL ASSISTANCE
Minnesota Other 6126079 MEDICAL ASSISTANCE
Minnesota Other 1016735 MEDICAL ASSISTANCE
Minnesota Other 6126079 MEDICAL ASSISTANCE

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