Samantha Sorensen Psyd LP LLC

NPI #1326410721 in Blaine, Minnesota

Provider Information

NPI Number
1326410721
Entity Type
Organization
Organization Name
Samantha Sorensen Psyd LP LLC
Primary Specialty
Psychologist - Counseling
Enumeration Date
Oct 24, 2015
Last Updated
Oct 24, 2015

Practice Location

Address
9289 CENTRAL AVE NE
Address 2
SUITE 401
City
Blaine
ZIP Code
55434-3424
Phone
(763) 614-5060

Authorized Official

Name
SAMANTHA SORENSEN, PSY.D.
Title
LICENSED PSYCHOLOGIST/OWNER
Phone
(763) 350-9032

Specialties & Taxonomy Codes

Specialty
Psychologist - CounselingCounseling

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