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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MANKATO CHILD PSYCHOLOGY CLINIC PA

Active Organization

MANKATO CHILD PSYCHOLOGY CLINIC PA is a Psychologist organization located in MANKATO, Minnesota. NPI 1316047517 is currently active in the NPPES registry. Verify at CMS.

Psychologist · MANKATO, MN

Registration Details

NPI Number
1316047517
Provider Type
Organization
NPI Issued
Sep 25, 2006 (19.894725945281 yrs)
Last Updated
Aug 22, 2020
License
LP1391 (MN)

Practice Information

Address
220 E MAIN STREET
SUITE 204 MANKATO CHILD PSYCHOLOGY CLINIC PA
MANKATO, MN, 56001
Browse MN providers · Browse ZIP 56001
Phone
5073455590
Fax
5073453550
Primary Specialty
Psychologist
103T00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.