Prairie Psychological Services PA

NPI #1740506393 in Crookston, Minnesota

Provider Information

NPI Number
1740506393
Entity Type
Organization
Organization Name
Prairie Psychological Services PA
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 7, 2010
Last Updated
Jul 14, 2011

Practice Location

Address
205 W FLETCHER ST
ZIP Code
56716-1945
Phone
(281) 281-2117

Authorized Official

Name
DR. DAVID G JANSEN, PH.D.
Title
OWNER AND DIRECTOR
Phone
(218) 281-2117

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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