Faribault Psychological Services PA

NPI #1457344731 in Faribault, Minnesota

Provider Information

NPI Number: 1457344731
Entity Type: Organization
Organization Name: Faribault Psychological Services PA
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 23, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 329 FARIBAULT RD
City: Faribault
State: Minnesota
ZIP Code: 55021-5780
Phone: (507) 334-6518

Authorized Official

Name: GLENN HOLMAN, PH.D. LP
Title: PRESIDENT
Phone: (507) 334-6518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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