Faribault Psychological Services Pa

LBN: Faribault Psychological Services Pa
Faribault Psychological Services Pa is an health care organization with primary practice located at 329 Faribault Rd , Faribault MN 55021-5780. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Faribault Psychological Services Pa can be contacted via phone (507) 334-6518, or through Holman, Glenn via phone (507) 334-6518.

Contact Information

Primary practice address
329 Faribault Rd Faribault MN 55021-5780
Phone: (507) 334-6518
Fax: (507) 333-2307
Website:
Map and Directions
Authorized official contact:
Name: Holman, Glenn PH.D. LP
Phone: (507) 334-6518

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1457344731
LBN Legal business name Faribault Psychological Services Pa
DBA Doing business as
Authorized official Holman, Glenn PH.D. LP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457344731 NPPES
Minnesota Other 34146HO BLUE CROSS BLUE SHIELD
Minnesota Other D179 BLUE CROSS BLUE SHIELD
Minnesota Other 97491 BLUE CROSS BLUE SHIELD
Minnesota Other D179 BLUE CROSS BLUE SHIELD
Minnesota Other 15534 BLUE CROSS BLUE SHIELD

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