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Contact Information

PEDIATRIC CONSULTATION SPECIALISTS, PLLC
3300 FERNBROOK LANE N
#120
PLYMOUTH, MN55447
 Phone: 763-559-7050
 Fax: 763-559-7060
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PEDIATRIC CONSULTATION SPECIALISTS, PLLC

NPI # 1659539591
LBN Legal business name PEDIATRIC CONSULTATION SPECIALISTS, PLLC
Authorized official SANDRA SONDELL - (LICENSED PSYCHOLOGIST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/28/2008
Last updated 06/04/2019 - About 7 years ago
Identifiers
MN License # LP4585
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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