Philip Psychological Clinic
Philip Psychological Clinic is a Clinical Psychologist in Mankato, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.
- Licensed in
- MN
- In the registry since
- 2008
Practice location Address checks out
510 Sibley St Ste 200Mankato, MN 56001
Phone: (207) 345-5049
Fax: (507) 345-5049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence LP2258 (MN) |
|---|
Record details
| NPI number | 1326216169 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ponvelil Philip — Owner Director · (507) 345-5049 |
| NPI enumerated | February 14, 2008 |
| Last updated in NPPES | February 14, 2008 |
| Mailing address | 510 Sibley Street, Suite 200, Mankato, MN 56001 |
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