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Contact Information

OPTIMAL BRAIN MN, PLLC
992 INWOOD AVE
OAKDALE, MN55128
 Phone: 651-263-4438
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for OPTIMAL BRAIN MN, PLLC

NPI Number 1609614957
LBN Legal business name OPTIMAL BRAIN MN, PLLC
Authorized official CALSEY FASCHING - (FOUNDER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2024
Last updated 07/19/2024 - More than a year ago
Identifiers n/a
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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