| Midwest Clinical Psychologist | |
|
5760 Royal Oaks Dr Shoreview MN 55126-8490 | |
| (612) 534-4118 | |
| Not Available |
| Full Name | Midwest Clinical Psychologist |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5760 Royal Oaks Dr, Shoreview, Minnesota |
| Authorized Official Name and Position | Roger Carten (OWNER) |
| Authorized Official Contact | 6515344118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Clinical Psychologist 5760 Royal Oaks Dr Shoreview MN 55126-8490 Ph: () - | Midwest Clinical Psychologist 5760 Royal Oaks Dr Shoreview MN 55126-8490 Ph: (612) 534-4118 |
| NPI Number | 1558338673 |
|---|---|
| Provider Enumeration Date | 03/07/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558338673 | NPI | - | NPPES |
| 02522CA | Other | MN | BLUE CROSS BLUE SHIELD MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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