| Minnesota Family Psychological Services Llc | |
|
7382 Kirkwood Ct Maple Grove MN 55369-5270 | |
| (763) 424-3704 | |
| (763) 424-8315 |
| Full Name | Minnesota Family Psychological Services Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 7382 Kirkwood Ct, Maple Grove, Minnesota |
| Authorized Official Name and Position | Marcia Rogers (OWNER) |
| Authorized Official Contact | 7634243704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Family Psychological Services Llc 7382 Kirkwood Ct Maple Grove MN 55369-5270 Ph: (763) 424-3704 | Minnesota Family Psychological Services Llc 7382 Kirkwood Ct Maple Grove MN 55369-5270 Ph: (763) 424-3704 |
| NPI Number | 1386855534 |
|---|---|
| Provider Enumeration Date | 05/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386855534 | NPI | - | NPPES |
| 359G0RO | Other | MN | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP3691 (Minnesota) | Primary |
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