| Mahlen Psychological Services Llc | |
|
18315 Cascade Dr Ste: 165 Eden Prairie MN 55347-1180 | |
| (612) 695-0071 | |
| (952) 767-5087 |
| Full Name | Mahlen Psychological Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 18315 Cascade Dr, Eden Prairie, Minnesota |
| Authorized Official Name and Position | Jason Lee Mahlen (OWNER-PSYCHOLOGIST) |
| Authorized Official Contact | 6126950071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahlen Psychological Services Llc 18315 Cascade Dr Ste: 165 Eden Prairie MN 55347-1180 Ph: (612) 695-0071 | Mahlen Psychological Services Llc 18315 Cascade Dr Ste: 165 Eden Prairie MN 55347-1180 Ph: (612) 695-0071 |
| NPI Number | 1790143378 |
|---|---|
| Provider Enumeration Date | 02/10/2016 |
| Last Update Date | 04/26/2016 |
| Medicare PECOS PAC ID | 0840599130 |
|---|---|
| Medicare Enrollment ID | O20160509002251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790143378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5600 (Minnesota) | Primary |
| Provider Name | Jason L Mahlen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205136231 PECOS PAC ID: 2264651389 Enrollment ID: I20140923001541 |
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