Lakeside Psychology Services, LLC
Lakeside Psychology Services, LLC is a Psychologist in St Louis Park, Minnesota. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4601 Excelsior Blvd Ste 340St Louis Park, MN 55416-5228
Phone: (612) 217-2719
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
| Psychologist (primary) | Taxonomy 103T00000X |
|---|
Record details
| NPI number | 1174171649 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Julie McKay — Licensed Clinical Psychologist · (612) 217-2719 |
| NPI enumerated | August 28, 2019 |
| Last updated in NPPES | October 4, 2022 |
| Certification date | February 23, 2022 |
| Mailing address | 4601 Excelsior Blvd Ste 340, St Louis Park, MN 55416-5228 |
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Sharon R Koukkari, MS, LP
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