Lakeside Psychology Services, LLC
NPI #1174171649 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1174171649
- Entity Type
- Organization
- Organization Name
- Lakeside Psychology Services, LLC
- Primary Specialty
- Psychologist
- Enumeration Date
- Aug 28, 2019
- Last Updated
- Oct 4, 2022
Practice Location
- Address
- 4601 EXCELSIOR BLVD STE 340
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-5228
- Phone
- (612) 217-2719
Authorized Official
- Name
- DR. JULIE ANNE MCKAY, PSY.D., LP
- Title
- LICENSED CLINICAL PSYCHOLOGIST
- Phone
- (612) 217-2719
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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