| Health Care Psychology, Pa | |
|
20 Lake St N Suite 320 Forest Lake MN 55025-2523 | |
| (651) 464-6900 | |
| (651) 464-6333 |
| Full Name | Health Care Psychology, Pa |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 20 Lake St N, Forest Lake, Minnesota |
| Authorized Official Name and Position | Stanley C Ferneyhough (PRESIDENT) |
| Authorized Official Contact | 6514646900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Care Psychology, Pa 20 Lake St N Suite 320 Forest Lake MN 55025-2523 Ph: (651) 464-6900 | Health Care Psychology, Pa 20 Lake St N Suite 320 Forest Lake MN 55025-2523 Ph: (651) 464-6900 |
| NPI Number | 1356586457 |
|---|---|
| Provider Enumeration Date | 12/04/2008 |
| Last Update Date | 12/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356586457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | LP1901 (Minnesota) | Primary |
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