Northstar Psychological, Pllc | |
8009 34th Ave S Riverview Office Tower, Suite 1490 Bloomington MN 55425-1608 | |
(612) 275-7564 | |
(952) 854-5062 |
Full Name | Northstar Psychological, Pllc |
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Speciality | Community/behavioral Health |
Location | 8009 34th Ave S, Bloomington, Minnesota |
Authorized Official Name and Position | Robert Gelmer Van Noord (PSYCHOLOGIST) |
Authorized Official Contact | 6122757564 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northstar Psychological, Pllc 20669 Fenston Ave N Forest Lake MN 55025-9810 Ph: (612) 275-7564 | Northstar Psychological, Pllc 8009 34th Ave S Riverview Office Tower, Suite 1490 Bloomington MN 55425-1608 Ph: (612) 275-7564 |
NPI Number | 1033357355 |
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Provider Enumeration Date | 01/23/2009 |
Last Update Date | 01/23/2009 |
Identifier | Type | State | Issuer |
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1033357355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LP4888 (Minnesota) | Primary |
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