| Samantha Sorensen Psyd Lp Llc | |
|
9289 Central Ave Ne Suite 401 Blaine MN 55434-3424 | |
| (763) 614-5060 | |
| (763) 614-5060 |
| Full Name | Samantha Sorensen Psyd Lp Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 9289 Central Ave Ne, Blaine, Minnesota |
| Authorized Official Name and Position | Samantha Sorensen (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7633509032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Sorensen Psyd Lp Llc 12331 Lever St Ne Blaine MN 55449-6643 Ph: (763) 350-9032 | Samantha Sorensen Psyd Lp Llc 9289 Central Ave Ne Suite 401 Blaine MN 55434-3424 Ph: (763) 614-5060 |
| NPI Number | 1326410721 |
|---|---|
| Provider Enumeration Date | 10/24/2015 |
| Last Update Date | 10/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326410721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | LP5556 (Minnesota) | Primary |
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