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Contact Information

PHILIP PSYCHOLOGICAL CLINIC
510 SIBLEY STREET
SUITE 200
MANKATO, MN56001
 Phone: 207-345-5049
 Fax: 507-345-5049
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PHILIP PSYCHOLOGICAL CLINIC · (Female)

NPI # 1326216169
Status Active
Credentials
Entity Individual
Enumeration date 02/14/2008
Last updated 02/14/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # LP2258
  • MN Other 41516PH BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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