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Contact Information

STONE ARCH PSYCHOLOGY AND HEALTH SERVICES
219 MAIN ST SE STE 400
MINNEAPOLIS, MN55414
 Phone: 612-886-2524
 Fax: 612-886-2538
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for STONE ARCH PSYCHOLOGY AND HEALTH SERVICES

NPI # 1124398607
LBN Legal business name STONE ARCH PSYCHOLOGY AND HEALTH SERVICES
Authorized official SUSAN GUSTAFSON - (PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/30/2011
Last updated 06/11/2018 - About 8 years ago
Identifiers
MN License # LP3594
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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