Health Care Psychology, PA
NPI #1356586457 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1356586457
- Entity Type
- Organization
- Organization Name
- Health Care Psychology, PA
- Primary Specialty
- Clinical Neuropsychologist
- Enumeration Date
- Dec 4, 2008
- Last Updated
- Dec 4, 2008
Practice Location
- Address
- 20 LAKE ST N
- Address 2
- SUITE 320
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-2523
- Phone
- (651) 464-6900
Authorized Official
- Name
- DR. STANLEY C FERNEYHOUGH, PH.D
- Title
- PRESIDENT
- Phone
- (651) 464-6900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Neuropsychologist |
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