Lynn Workman Nodland, Ph.d. & Associates, Inc | |
684 Excelsior Blvd Ste 120 Excelsior MN 55331-1981 | |
(952) 452-2664 | |
Not Available |
Full Name | Lynn Workman Nodland, Ph.d. & Associates, Inc |
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Speciality | Psychologist - Clinical |
Location | 684 Excelsior Blvd Ste 120, Excelsior, Minnesota |
Authorized Official Name and Position | Lynn Workman Nodland (CEO) |
Authorized Official Contact | 9524522664 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lynn Workman Nodland, Ph.d. & Associates, Inc 684 Excelsior Blvd Ste 120 Excelsior MN 55331-1981 Ph: (952) 452-2664 | Lynn Workman Nodland, Ph.d. & Associates, Inc 684 Excelsior Blvd Ste 120 Excelsior MN 55331-1981 Ph: (952) 452-2664 |
NPI Number | 1295180040 |
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Provider Enumeration Date | 04/29/2016 |
Last Update Date | 04/29/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295180040 | NPI | - | NPPES |
66794NO | Other | MN | BLUECROSSBLUESHIELD OF MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | LP2607 (Minnesota) | Primary |
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