Psychological Consultants Of So Mn Pa

LBN: Psychological Consultants Of So Mn Pa
Psychological Consultants Of So Mn Pa is an health care organization with primary practice located at 4663 White Bear Pkwy , White Bear Lake MN 55110-3300. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Psychological Consultants Of So Mn Pa can be contacted via phone (612) 508-9309, or through Reitman, Paul via phone (612) 508-9309.

Contact Information

Primary practice address
4663 White Bear Pkwy White Bear Lake MN 55110-3300
Phone: (612) 508-9309
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reitman, Paul PH.D.
Phone: (612) 508-9309

Health care specialties

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

Profile Details

NPI number 1841316015
LBN Legal business name Psychological Consultants Of So Mn Pa
DBA Doing business as
Authorized official Reitman, Paul PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Apr 29th, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841316015 NPPES
Minnesota MEDICAID 452444600
Minnesota Other 41511PS
Minnesota Other 1007131

Popular Providers