Watershed Psychological Services

LBN: Watershed Psychological Services
Watershed Psychological Services is an health care organization with primary practice located at 4255 Pheasant Ridge Drive Suite 412, Blaine MN 55391. 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. Watershed Psychological Services can be contacted via phone (763) 317-6222, or through Shedlock, Megan Jean Boom via phone (320) 266-4535.

Contact Information

Primary practice address
4255 Pheasant Ridge Drive Suite 412 Blaine MN 55391
Phone: (763) 317-6222
Fax: (763) 307-3835
Website:
Map and Directions
Authorized official contact:
Name: Shedlock, Megan Jean Boom LMFT
Phone: (320) 266-4535

Health care specialties

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

Profile Details

NPI number 1952763351
LBN Legal business name Watershed Psychological Services
DBA Doing business as
Authorized official Shedlock, Megan Jean Boom LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2016
Last updated Aug 8th, 2016 - about 10 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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