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Contact Information

ACT PSYCHOLOGICAL SERVICES, PLLC
4601 EXCELSIOR BLVD STE 507A
SAINT LOUIS PARK, MN55416-4977
 Phone: 612-836-3886
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for ACT PSYCHOLOGICAL SERVICES, PLLC

NPI # 1407296288
LBN Legal business name ACT PSYCHOLOGICAL SERVICES, PLLC
Authorized official KENT SMALLWOOD - (CLINICAL LICENSED PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2013
Last updated 06/26/2013 - About 13 years ago
Identifiers
MN License # LP5358
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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