Lake Superior Psychological Services, Inc.
NPI #1396089660 in Hermantown, Minnesota
Provider Information
- NPI Number
- 1396089660
- Entity Type
- Organization
- Organization Name
- Lake Superior Psychological Services, Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 26, 2012
- Last Updated
- Feb 6, 2013
Practice Location
- Address
- 4891 MILLER TRUNK HWY
- Address 2
- SUITE 106
- City
- Hermantown
- State
- Minnesota
- ZIP Code
- 55811-1512
- Phone
- (218) 722-2525
Authorized Official
- Name
- DR. JEFFREY LYNN OLSON, PSY D, LP
- Title
- CLINICAL PSYCHOLOGIST
- Phone
- (218) 722-2525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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