Potter, Vickie Lynn

Potter, Vickie Lynn is an individual health care provider with primary practice located at 290 9Th Ave , Granite Falls MN 56241-1439. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Potter, Vickie Lynn can be contacted via phone (320) 564-5670.

Contact Information

Primary practice address
290 9Th Ave Granite Falls MN 56241-1439
Phone: (320) 564-5670
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2895 Minnesota

Profile Details

NPI number 1407946700
LBN Legal business name Potter, Vickie Lynn
Credentials M.S., L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407946700 NPPES
Minnesota Other 2897227 TAX NUMBER
Minnesota Other L.P 2895 TAX NUMBER
Minnesota Other 114832 TAX NUMBER
Minnesota Other 9H516PO TAX NUMBER
Minnesota Other P51552 TAX NUMBER

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