| Psychology Services Of Southern Minnesota, Llc | |
|
109 1st Ave Se Austin MN 55912-3480 | |
| (507) 433-5191 | |
| (507) 433-1985 |
| Full Name | Psychology Services Of Southern Minnesota, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 109 1st Ave Se, Austin, Minnesota |
| Authorized Official Name and Position | Rosemary S Linderman (PRES) |
| Authorized Official Contact | 5074335191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychology Services Of Southern Minnesota, Llc 109 1st Ave Se Austin MN 55912-3480 Ph: (507) 433-5191 | Psychology Services Of Southern Minnesota, Llc 109 1st Ave Se Austin MN 55912-3480 Ph: (507) 433-5191 |
| NPI Number | 1265611388 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 09/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265611388 | NPI | - | NPPES |
| 487050600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2378 (Minnesota) | Primary |
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