| Clinical And Forensic Psychology Ltd | |
|
2677 Innsbruck Dr Suite D Saint Paul MN 55112-6395 | |
| (612) 581-6655 | |
| (651) 633-9485 |
| Full Name | Clinical And Forensic Psychology Ltd |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2677 Innsbruck Dr, Saint Paul, Minnesota |
| Authorized Official Name and Position | James Harlan Gilbertson (PRESIDENT) |
| Authorized Official Contact | 6125816655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical And Forensic Psychology Ltd Post Office Box 67 Barnum MN 55707 Ph: (612) 581-6655 | Clinical And Forensic Psychology Ltd 2677 Innsbruck Dr Suite D Saint Paul MN 55112-6395 Ph: (612) 581-6655 |
| NPI Number | 1669614483 |
|---|---|
| Provider Enumeration Date | 03/25/2009 |
| Last Update Date | 03/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669614483 | NPI | - | NPPES |
| 420247300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LP1768 (Minnesota) | Primary |
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