Northern Psychiatric Associates Of Minnesota | |
7115 Forthun Rd Ste 105 Baxter MN 56425-8598 | |
(704) 506-6267 | |
Not Available |
Full Name | Northern Psychiatric Associates Of Minnesota |
---|---|
Speciality | Psychologist - Clinical |
Location | 7115 Forthun Rd Ste 105, Baxter, Minnesota |
Authorized Official Name and Position | Leslie Johnson (CEO) |
Authorized Official Contact | 7045066267 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northern Psychiatric Associates Of Minnesota 11000 Optum Cir Eden Prairie MN 55344-2503 Ph: (704) 506-6267 | Northern Psychiatric Associates Of Minnesota 7115 Forthun Rd Ste 105 Baxter MN 56425-8598 Ph: (704) 506-6267 |
NPI Number | 1124898556 |
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Provider Enumeration Date | 01/05/2024 |
Last Update Date | 04/24/2024 |
Certification Date | 04/24/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124898556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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