Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeside Psychological Services

Organization Counseling Psychologist · NPI 1316043458

Lakeside Psychological Services is a Counseling Psychologist in Grand Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

2618 Emerald Dr
Grand Rapids, MN 55744-5060
Phone: (218) 327-9013
Fax: (218) 327-9013
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X (MN)

Record details

NPI number1316043458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Coreen Lauseng — Billing Agent · (952) 935-1961
NPI enumeratedSeptember 16, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2618 Emerald Dr, Grand Rapids, MN 55744-5060

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