Psychology Services Of Southern Minnesota, Llc | |
109 1st Ave Se Austin MN 55912-3480 | |
(507) 433-5191 | |
(507) 433-1985 |
Full Name | Psychology Services Of Southern Minnesota, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 109 1st Ave Se, Austin, Minnesota |
Authorized Official Name and Position | Rosemary S Linderman (PRES) |
Authorized Official Contact | 5074335191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Psychology Services Of Southern Minnesota, Llc 109 1st Ave Se Austin MN 55912-3480 Ph: (507) 433-5191 | Psychology Services Of Southern Minnesota, Llc 109 1st Ave Se Austin MN 55912-3480 Ph: (507) 433-5191 |
NPI Number | 1265611388 |
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Provider Enumeration Date | 10/25/2007 |
Last Update Date | 09/04/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265611388 | NPI | - | NPPES |
487050600 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 2378 (Minnesota) | Primary |
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