| Stapleton Psychological Services | |
|
1749 Se 2nd Ave Grand Rapids MN 55744-2576 | |
| (218) 326-5694 | |
| (218) 326-5313 |
| Full Name | Stapleton Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 1749 Se 2nd Ave, Grand Rapids, Minnesota |
| Authorized Official Name and Position | Kenneth Lynn Stapleton (OWNER) |
| Authorized Official Contact | 2183265694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stapleton Psychological Services 1749 Se 2nd Ave Grand Rapids MN 55744-2576 Ph: (218) 326-5694 | Stapleton Psychological Services 1749 Se 2nd Ave Grand Rapids MN 55744-2576 Ph: (218) 326-5694 |
| NPI Number | 1104205319 |
|---|---|
| Provider Enumeration Date | 05/20/2015 |
| Last Update Date | 05/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104205319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP3021 (Minnesota) | Primary |
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