Act Psychological Services, Pllc
NPI #1407296288 in Saint Louis Park, Minnesota
Provider Information
- NPI Number
- 1407296288
- Entity Type
- Organization
- Organization Name
- Act Psychological Services, Pllc
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 26, 2013
- Last Updated
- Jun 26, 2013
Practice Location
- Address
- 4601 EXCELSIOR BLVD STE 507A
- City
- Saint Louis Park
- State
- Minnesota
- ZIP Code
- 55416-4977
- Phone
- (612) 836-3886
Authorized Official
- Name
- DR. KENT DAVID SMALLWOOD, PH.D.
- Title
- CLINICAL LICENSED PSYCHOLOGIST
- Phone
- (612) 836-3886
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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