| Professional Psychological Services, Ltd | |
|
3352 Sherman Ct Suite 104 Eagan MN 55121-5003 | |
| (651) 353-0133 | |
| (651) 905-0464 |
| Full Name | Professional Psychological Services, Ltd |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3352 Sherman Ct, Eagan, Minnesota |
| Authorized Official Name and Position | Kathleen Margaret Borer (CEO/PRESIDENT) |
| Authorized Official Contact | 6513530133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Psychological Services, Ltd 608 Hampshire Dr Mendota Heights MN 55120-1932 Ph: (651) 353-0133 | Professional Psychological Services, Ltd 3352 Sherman Ct Suite 104 Eagan MN 55121-5003 Ph: (651) 353-0133 |
| NPI Number | 1578700878 |
|---|---|
| Provider Enumeration Date | 01/08/2009 |
| Last Update Date | 01/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578700878 | NPI | - | NPPES |
| 877621100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 16437 (Minnesota) | Primary |
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