Psychological Assessment Services | |
5775 Wayzata Blvd, Suite 700 St Louis Park MN 55416 | |
(612) 799-6263 | |
(888) 827-5513 |
Full Name | Psychological Assessment Services |
---|---|
Speciality | Psychologist - Clinical |
Location | 5775 Wayzata Blvd, Suite 700, St Louis Park, Minnesota |
Authorized Official Name and Position | Allen Stock (OWNER) |
Authorized Official Contact | 6127996263 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Psychological Assessment Services 5775 Wayzata Blvd, Suite 700 St Louis Park MN 55416 Ph: (612) 799-6263 | Psychological Assessment Services 5775 Wayzata Blvd, Suite 700 St Louis Park MN 55416 Ph: (612) 799-6263 |
NPI Number | 1477098507 |
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Provider Enumeration Date | 12/28/2016 |
Last Update Date | 04/06/2023 |
Certification Date | 04/06/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477098507 | NPI | - | NPPES |
1770832875 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | LP 1450 (Minnesota) | Secondary |
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