Psychological&behavioralconsultantspa
Psychological&behavioralconsultantspa is a Psychologist in White Bear Lake, Minnesota. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
2186 3rd St Ste 105White Bear Lake, MN 55110-3263
Phone: (651) 227-8880
Fax: (651) 227-8908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X |
|---|
Record details
| NPI number | 1811026123 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | W Balcerzak — Ceo · (651) 227-8880 |
| NPI enumerated | March 4, 2007 |
| Last updated in NPPES | February 24, 2013 |
| Mailing address | 2186 3rd St, Suite 105, White Bear Lake, MN 55110-3263 |
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