NPI 1619229754

Northern Lights Psychological Services P.A.

Organisation Community/Behavioral Health Agency Fergus Falls, MN

Practice location

Address: 1010 Frontier Dr Suite 104, Fergus Falls, MN 56537-1023
Phone: (507) 828-1433
Mailing address: PO Box 3, Underwood, MN 56586-0003

Authorised official

Name: Angela a Kennedy
Title: Ceo
Phone: (507) 828-1433

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence LP4330 (MN)

Other Community/Behavioral Health providers in Minnesota →

Registry record

NPI: 1619229754
Entity type: Organization
NPI issued: 14 Oct 2012
Record last updated: 14 Oct 2012

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.