| Optimal Brain Mn, Pllc | |
|
992 Inwood Ave Oakdale MN 55128 | |
| (651) 263-4438 | |
| Not Available |
| Full Name | Optimal Brain Mn, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 992 Inwood Ave, Oakdale, Minnesota |
| Authorized Official Name and Position | Calsey Fasching (FOUNDER) |
| Authorized Official Contact | 6512634438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Brain Mn, Pllc 992 Inwood Ave Oakdale MN 55128 Ph: (651) 263-4438 | Optimal Brain Mn, Pllc 992 Inwood Ave Oakdale MN 55128 Ph: (651) 263-4438 |
| NPI Number | 1609614957 |
|---|---|
| Provider Enumeration Date | 07/19/2024 |
| Last Update Date | 07/19/2024 |
| Certification Date | 07/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609614957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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