NPI 1033357355

Northstar Psychological, PLLC

Organisation Community/Behavioral Health Agency Bloomington, MN

Practice location

Address: 8009 34th Ave S Riverview Office Tower, Suite 1490, Bloomington, MN 55425-1608
Phone: (612) 275-7564
Fax: (952) 854-5062
Mailing address: 20669 Fenston Ave N, Forest Lake, MN 55025-9810

Authorised official

Name: Robert Gelmer van Noord
Title: Psychologist
Phone: (612) 275-7564

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence LP4888 (MN)

Other Community/Behavioral Health providers in Minnesota →

Registry record

NPI: 1033357355
Entity type: Organization
NPI issued: 23 Jan 2009
Record last updated: 23 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.