Lake Superior Psychological Services, Inc
Lake Superior Psychological Services, Inc is a Community/Behavioral Health Agency in Hermantown, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.
- Licensed in
- MN
- In the registry since
- 2012
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4891 Miller Trunk Hwy Ste 106Hermantown, MN 55811-1512
Phone: (218) 722-2525
Fax: (218) 722-1033
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence LP4532 (MN) |
|---|
Record details
| NPI number | 1396089660 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Olson — Clinical Psychologist · (218) 722-2525 |
| NPI enumerated | November 26, 2012 |
| Last updated in NPPES | February 6, 2013 |
| Mailing address | 4891 Miller Trunk Hwy, Suite 106, Hermantown, MN 55811-1512 |