Organization · Type 2 NPI
Lake Superior Psychological Services, Inc.
Community/Behavioral Health Agency · Hermantown, MN
Practice location
4891 Miller Trunk Hwy, Suite 106
Hermantown, MN 55811-1512
Fax (218) 722-1033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | LP4532 (MN) |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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 suppo…
4 other providers at this address
- Anne Katherine HendricksPsychiatric/Mental Health Nurse Practitioner Hermantown, MN NPI 1235850991
- Jeffrey L. Olson, PSYD LPClinical Psychologist Hermantown, MN NPI 1881795276
- Pamela J. Idziorek, RNNPNurse Practitioner Hermantown, MN NPI 1134235344
- Robert James Idziorek Jr., DDSGeneral Practice Dentistry Duluth, MN NPI 1730283342
About NPI 1396089660
Lake Superior Psychological Services, Inc.'s National Provider Identifier is 1396089660, issued on Nov 26, 2012. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Hermantown, MN. The record was last updated on Feb 6, 2013.