| Associated Psychological Services | |
|
113 E Hickory St Mankato MN 56001-3630 | |
| (507) 388-8114 | |
| (507) 388-8068 |
| Full Name | Associated Psychological Services |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 113 E Hickory St, Mankato, Minnesota |
| Authorized Official Name and Position | Linda L Marshall (OWNER) |
| Authorized Official Contact | 5073888114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Psychological Services 113 E Hickory St Mankato MN 56001-3630 Ph: (507) 388-8114 | Associated Psychological Services 113 E Hickory St Mankato MN 56001-3630 Ph: (507) 388-8114 |
| NPI Number | 1285665877 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 03/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285665877 | NPI | - | NPPES |
| 121989 | Other | MN | UCARE PROV ID |
| 136497 | Other | MN | UCARE GR# |
| 755295500 | Medicaid | MN | |
| 060H0AS | Other | MN | BCBS GROUP # |
| 6128537 | Other | MN | MEDICA-UBH PROV ID |
| 84732 | Other | MN | HEALTH PARTNERS GR# |
| C05525 | Other | MN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | LP3219 (Minnesota) | Primary |
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