| Simonson Psychological Services | |
|
10267 University Ave #203 Blaine MN 55434 | |
| (763) 639-7462 | |
| (763) 786-5462 |
| Full Name | Simonson Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 10267 University Ave, Blaine, Minnesota |
| Authorized Official Name and Position | Daniel Paul Simonson (PRESIDENT PSYCHOLOGIST) |
| Authorized Official Contact | 7636397462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simonson Psychological Services 10267 University Ave Ne Suite 203 Blaine MN 55434 Ph: (763) 639-7462 | Simonson Psychological Services 10267 University Ave #203 Blaine MN 55434 Ph: (763) 639-7462 |
| NPI Number | 1407907397 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407907397 | NPI | - | NPPES |
| 53M835I | Other | MN | BCBS BLUE CROSS BLUE SHIE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3450 (Minnesota) | Primary |
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