NPI 1396089660 LAKE SUPERIOR PSYCHOLOGICAL SERVICES, INC. HERMANTOWN MN. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Lake Superior Psychological Services, Inc. - NPI: 1396089660

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: LAKE SUPERIOR PSYCHOLOGICAL SERVICES, INC.
NPI Number: 1396089660
Entity Type Code: Organizational (2)
Authorized Official Name: JEFFREY LYNN OLSON
(CLINICAL PSYCHOLOGIST)
Mailing Address: 4891 Miller Trunk Hwy Suite 106
Hermantown
State: MN US
Postal Code: 558111512
Phone Number: 2187222525
Fax Number: 2187221033
NPI Enumeration Date: 11/26/2012
NPI Last Update Date: 02/06/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 251S00000X
License Number: LP4532
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MN
Taxonomy Type: Agencies
Taxonomy Classification: Community/Behavioral Health
Taxonomy Specialization:
Taxonomy Definition:
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.


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