| Somers Psychological Services, P.a. | |
|
7225 Forestview Ln N Maple Grove MN 55369-5501 | |
| (763) 201-1090 | |
| (763) 201-1095 |
| Full Name | Somers Psychological Services, P.a. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7225 Forestview Ln N, Maple Grove, Minnesota |
| Authorized Official Name and Position | Peter J Somers (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7632011090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Somers Psychological Services, P.a. 7225 Forestview Ln N Maple Grove MN 55369-5501 Ph: (763) 201-1090 | Somers Psychological Services, P.a. 7225 Forestview Ln N Maple Grove MN 55369-5501 Ph: (763) 201-1090 |
| NPI Number | 1184988966 |
|---|---|
| Provider Enumeration Date | 06/27/2012 |
| Last Update Date | 06/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184988966 | NPI | - | NPPES |
| 913252000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LP1856 (Minnesota) | Primary |
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